Individual provider Active NPI

Steven James Camp, BCBA

  • Behavior Analyst
  • Rancho Cucamonga, CA
National Provider Identifier
1427485366
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-13-14004 Issued in CA
Practice address
7527 Kenwood PL
Rancho Cucamonga, CA 91739-8876
Phone
(760) 217-9678
Fax
(909) 899-3059
NPI assigned
Oct 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-13-14004 CA Primary

Addresses

Primary practice location

7527 Kenwood PL
Rancho Cucamonga, CA 91739-8876

Mailing address

7527 Kenwood PL
Rancho Cucamonga, CA 91739-8876
Phone (760) 217-9678

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1427485366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 KENWOOD PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398876",
            "telephone_number": "760-217-9678",
            "fax_number": "909-899-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7527 KENWOOD PL",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398876",
            "telephone_number": "760-217-9678",
            "fax_number": "909-899-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-10",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-13-14004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.