Camren H Canseco
Individual provider Active NPI Behavior Technician · Lemoore, CA
NPI 1467218834 · NPPES record last updated Feb 23, 2024
Key facts
- NPI
- 1467218834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1536 Jacaranda St
Lemoore, CA 93245-5275 - Phone
- (559) 707-1052
- NPI assigned
- Feb 23, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1536 Jacaranda St
Lemoore, CA 93245-5275
Mailing address
7339 N 1St St Ste 105
Fresno, CA 93720-2954
Other providers in Lemoore, CA
- Lacy Hatfield Broils
- Pamela Brosius
- Riley Brubaker
- Thomas Edwin Buford
- Oscar Campos
- Deborah Sue Carolan
- Isaac Carrillo
- Josie Carroway
- Vanesa Carson
- Sandra Case-Jorgenson
All providers in Lemoore, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2024. 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.