Provider Demographics
NPI:1558034348
Name:LEVALOIS, SYDNEY MADISYN
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:MADISYN
Last Name:LEVALOIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26209 PARK VIEW RD
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-2068
Mailing Address - Country:US
Mailing Address - Phone:661-904-9857
Mailing Address - Fax:
Practice Address - Street 1:26209 PARK VIEW RD
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-2068
Practice Address - Country:US
Practice Address - Phone:661-904-9857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician