Individual
GEDALIAH LEVITIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA
Contact information
Practice address
1217 MEDINA RD, LAKEWOOD, NJ 08701-3704
(732) 901-1407
Mailing address
1217 MEDINA RD, LAKEWOOD, NJ 08701-3704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-30123
NJ
Other
Enumeration date
07/11/2018
Last updated
09/22/2024
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