Active NPI
Abigail Camacho
- Assistant Behavior Analyst
- El Centro, CA
National Provider Identifier
1104503689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assistant Behavior Analyst
- License
- Y5154987
- Practice address
- 1061 Fieldview Ave
El Centro, CA 92243-9115 - Phone
- (442) 225-2197
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assistant Behavior Analyst | 106E00000X | Y5154987 | CA | Primary |
Addresses
Primary practice location
1061 Fieldview Ave
El Centro, CA 92243-9115
Mailing address
PO Box 1796
Calipatria, CA 92233-1796
Phone (442) 225-2197
Other practice location 1
321 west Bonita Street
Unit 1
Calipatria, CA 92243
Phone (442) 225-2197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Y5154987 | CA | MD | Assistant Behavior Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1104503689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1796",
"city": "CALIPATRIA",
"state": "CA",
"postal_code": "922331796",
"telephone_number": "442-225-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 FIELDVIEW AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922439115",
"telephone_number": "442-225-2197"
}
],
"practiceLocations": [
{
"address_1": "321 west Bonita Street",
"address_2": "Unit 1",
"address_purpose": "LOCATION",
"city": "Calipatria",
"state": "CA",
"postal_code": "92243",
"country_code": "US",
"telephone_number": "442-225-2197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "ABIGAIL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2023-06-28",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "106E00000X",
"taxonomy_group": "",
"desc": "Assistant Behavior Analyst",
"state": "CA",
"license": "Y5154987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.