Individual
ALEXANDER JOSEPH LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 MONROE ST STE 304, DEARBORN, MI 48124-2926
(517) 245-4778
(517) 698-8223
Mailing address
PO BOX 12279, LANSING, MI 48901-2279
(517) 245-4777
(517) 698-8223
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L100044441749
DRIVER'S LICENSE
MI
Enumeration date
09/30/2022
Last updated
09/30/2022
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