Active NPI
Julissa G Camacho
- Behavior Technician
- El Centro, CA
National Provider Identifier
1710691605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1990 W Main. St Apt 106
El Centro, CA 92243 - Phone
- (619) 598-6862
- NPI assigned
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1990 W Main. St Apt 106
El Centro, CA 92243
Mailing address
1990 W Main St Apt 106
El Centro, CA 92243-2187
Phone (619) 598-6862
Other practice location 1
1990 W Main. St Apt 106
El Centro, CA 92243-9224
Phone (619) 598-6862
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": "1672963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1710691605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 W MAIN ST APT 106",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922432187",
"telephone_number": "619-598-6862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 W MAIN. ST APT 106",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "92243",
"telephone_number": "619-598-6862"
}
],
"practiceLocations": [
{
"address_1": "1990 W Main. St Apt 106",
"address_purpose": "LOCATION",
"city": "El Centro",
"state": "CA",
"postal_code": "922439224",
"country_code": "US",
"telephone_number": "619-598-6862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMACHO",
"first_name": "JULISSA",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-06",
"last_updated": "2023-01-06",
"certification_date": "2023-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.