Individual
MS. NICOLE LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
7000 AUSTIN ST STE 200, FOREST HILLS, NY 11375-4739
(718) 762-7633
Mailing address
365 CLINTON AVE APT 11F, BROOKLYN, NY 11238-1160
(917) 576-7951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
NY
Other
Enumeration date
06/08/2012
Last updated
09/15/2022
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