Provider Demographics
NPI:1851637516
Name:ESCALANTE-HARVIN, LIVIA LYNNETTE (ABA, SI, TSHH)
Entity Type:Individual
Prefix:
First Name:LIVIA
Middle Name:LYNNETTE
Last Name:ESCALANTE-HARVIN
Suffix:
Gender:F
Credentials:ABA, SI, TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 BUTTRICK AVE
Mailing Address - Street 2:#2J
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-3162
Mailing Address - Country:US
Mailing Address - Phone:718-822-6767
Mailing Address - Fax:
Practice Address - Street 1:268 BUTTRICK AVE
Practice Address - Street 2:#2J
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-3162
Practice Address - Country:US
Practice Address - Phone:718-822-6767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-27
Last Update Date:2012-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist