Individual
ADVAH LEVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 THERESA AVE, AMERICAN CANYON, CA 94503-9654
(707) 561-0134
Mailing address
120 THERESA AVE, AMERICAN CANYON, CA 94503-9654
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-54980
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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