Mark D Levine, M.S.
Behavior Analyst in San Rafael, CA. Individual provider (NPI-1).
NPI number1760610653
StatusActive
Last updated in NPPESJun 30, 2009
Details
- NPI
- 1760610653
- Entity type
- Individual (NPI-1)
- Name
- Mark D Levine
- Credential
- M.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2009
- Last updated
- Jun 30, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-00-0276 | – | Yes |
| 101YM0800X | Counselor, Mental Health | 27 | HI | |
| 101YP2500X | Counselor, Professional | 2935 | NC |
Practice location
454 Las Gallinas AveSuite 131
San Rafael, CA 94903-3618
Phone 415-297-9190
Mailing address
454 Las Gallinas AveSuite 131
San Rafael, CA 94903-3618
Phone 415-297-9190
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