Camille M. Borja

Individual provider Active NPI Behavior Analyst · Cupertino, CA

NPI 1659847754 · NPPES record last updated Oct 17, 2018

Key facts

NPI
1659847754
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
F2903270 (CA)
Practice address
1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358
Phone
(669) 210-0301
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
F2903270CAMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X F2903270 CA Yes

Addresses

Primary practice location

1601 S de Anza Blvd Ste 110
Cupertino, CA 95014-5358

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 1

1601 S De Anza Blvd Ste 110
Cupertino, CA 95014-5358
Phone (669) 210-0301

Other providers in Cupertino, CA

All providers in Cupertino, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.