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Camryn Cornwell

Behavior Technician in Arcata, CA. Individual provider (NPI-1).

NPI number1417543257
StatusActive
Last updated in NPPESDec 16, 2020

Details

NPI
1417543257
Entity type
Individual (NPI-1)
Name
Camryn Cornwell
Sex
Female
Sole proprietor
No
Enumeration date
Dec 16, 2020
Certification date
Dec 16, 2020
Last updated
Dec 16, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

901 O St
Suite C
Arcata, CA 95521-5789

Phone 303-989-8169

Mailing address

901 O St
Suite C
Arcata, CA 95521-5789

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