Carol Stephanie Camacho
Behavior Technician in Garden Grove, CA. Individual provider (NPI-1).
NPI number1043166366
StatusActive
Last updated in NPPESMar 9, 2026
Details
- NPI
- 1043166366
- Entity type
- Individual (NPI-1)
- Name
- Carol Stephanie Camacho
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 9, 2026
- Certification date
- Mar 9, 2026
- Last updated
- Mar 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | CA | Yes |
Practice location
12395 Lewis St Ste 102Garden Grove, CA 92840-4698
Phone 760-634-1125
Mailing address
12395 Lewis St Ste 102Garden Grove, CA 92840-4698
Phone 760-634-1125
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