Most Relevant Information
Provider Data
| NPI Number: | 1003689811 |
| Provider Name: | ALEXIS LEVESQUE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/02/2023 |
| Last Updated: | 11/02/2023 |
Provider Practice Location
345 N MAIN ST
WEST HARTFORD
CT
061172515
Practice Location Phone/Fax
| Phone: | 9592233077 |
| Fax: | 9592076224 |
Provider Mailing Location
73 BENTON ST
MANCHESTER
CT
060404303
Provider Mailing Phone/Fax
| Phone: | 8609993425 |
| Fax: |