Katherine Camp
Individual provider Active NPI Behavior Analyst · Destin, FL
NPI 1083107635 · NPPES record last updated May 2, 2022
Key facts
- NPI
- 1083107635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-44510 (FL)
- Practice address
- 225 Main St Ste 3
Destin, FL 32541-2550 - Phone
- (850) 781-0406
- Fax
- (850) 378-5233
- NPI assigned
- Jun 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camp Family LLC | Behavior Analyst | Current |
Accepting new patients |
Locations
225 Main St
Ste 3
Destin, FL 32541
Phone (850) 564-6408
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Analyst | 103K00000X | FL | ||
| Assistant Behavior Analyst | 106E00000X | 0-19-10452 | FL | |
| Behavior Technician | 106S00000X | |||
| Behavior Analyst | 103K00000X | 1-20-44510 | FL | Yes |
Addresses
Primary practice location
225 Main St Ste 3
Destin, FL 32541-2550
Mailing address
225 Main St Ste 3
Destin, FL 32541-2550
Phone (850) 781-0406
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083107635 | Other | FL | INDIVIDUAL |
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.