NPIMap

Organization Active NPI

Camp Family LLC

Doing business as Family Forward ABA

  • Behavior Analyst
  • Destin, FL
National Provider Identifier
1497346985
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CAMP FAMILY LLC
Doing business as
Family Forward ABA
Practice address
225 Main St Ste 3
Destin, FL 32541
Phone
(850) 781-0406
Fax
(850) 378-5233
NPI assigned
Jan 28, 2021
Last updated
Mar 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Katherine Camp, BCBANPI 1083107635
Title
C.E.O
Phone
(206) 799-2467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

225 Main St Ste 3
Destin, FL 32541

Mailing address

225 Main St Ste 3
Destin, FL 32541-2550
Phone (850) 781-0406

Other practice location 1

734 Vintage Cir
Destin, FL 32541-1647
Phone (206) 799-2467

Other names 1

  • Family Forward ABA Doing business as

National Provider Directory

National Provider Directory

Locations

225 Main St
Ste 3
Destin, FL 32541
Phone (850) 564-6408

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1497346985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MAIN ST STE 3",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412550",
            "telephone_number": "850-781-0406",
            "fax_number": "850-378-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MAIN ST STE 3",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32541",
            "telephone_number": "850-781-0406",
            "fax_number": "850-378-5233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 Vintage Cir",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325411647",
            "country_code": "US",
            "telephone_number": "206-799-2467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAMP FAMILY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "C.E.O",
        "authorized_official_telephone_number": "206-799-2467",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Forward ABA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Forward ABA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.