LEVI DEATHERAGE

SAN BERNARDINO, CA
NPI1336001916
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-12-02
Last Update Date2025-12-02
Business Address
LEVI DEATHERAGE
4508 N SIERRA WAY
SAN BERNARDINO, CA 92407-3854
Phone number: 800-207-0272
Mailing Address
LEVI DEATHERAGE
612 S MYRTLE AVE STE 100
MONROVIA, CA 91016-3406
Phone number: 800-207-0272