Dawniella Camero – Behavior Analyst in Radcliff, KY

Key facts

NPI: 1114636172
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Analyst 103K00000X
License: 296743 (KY)
Practice address: 402 W Lincoln Trail Blvd
Radcliff, KY 40160-2011
Phone: (270) 352-1133
NPI assigned: Nov 18, 2022
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Early Intervention and Consultation Services, LLC Adolescent and Children Mental Health Clinic/Center · Leitchfield, KY · NPI 1780092957

NPD (past) BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
296743	KY	MD	Behavioral Analyst

Practice roles

Organization	Specialty	Status	New patients
Early Intervention and Consultation Services, LLC	Behavior Analyst	Past since Nov 1, 2022	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	296743	KY	Yes

Addresses

Primary practice location

402 W Lincoln Trail Blvd
Radcliff, KY 40160-2011

Mailing address

83 Fudge LN
Elizabethtown, KY 42701-9772
Phone (270) 401-7885

Other providers in Radcliff, KY

All providers in Radcliff, KY · Behavior Analyst in Kentucky

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. 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.

Verify at the official NPI Registry.