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Jeremiah Camacho

Behavior Technician in Abilene, TX. Individual provider (NPI-1).

NPI number1467273003
StatusActive
Last updated in NPPESOct 17, 2024

Details

NPI
1467273003
Entity type
Individual (NPI-1)
Name
Jeremiah Camacho
Sex
Male
Sole proprietor
No
Enumeration date
Oct 17, 2024
Certification date
Oct 10, 2024
Last updated
Oct 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

917 Lineberry Blvd
Abilene, TX 79601

Phone 325-670-1005 · Fax 325-670-1221

Mailing address

2200 Hickory St Box 16015
Abilene, TX 79698-0001

Phone 325-670-1005 · Fax 325-670-1221

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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