NPIMap

Organization Active NPI

Camen Behavioral Services, LLC

  • Behavior Analyst
  • Kissimmee, FL
National Provider Identifier
1720548860
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
CAMEN BEHAVIORAL SERVICES, LLC
Practice address
4727 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5326
Phone
(407) 978-6085
Fax
(321) 445-9760
NPI assigned
Mar 24, 2019
Organization subpart
Yes
Parent organization
CAMEN BEHAVIORAL SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Claire Alexis Lottman, BCBANPI 1538395215
Title
Ceo
Phone
(321) 972-4039

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Assistant Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 106E00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

4727 W Irlo Bronson Memorial Hwy
Kissimmee, FL 34746-5326

Mailing address

5959 Lake Ellenor Dr
Orlando, FL 32809-4633
Phone (321) 972-4039

Other identifiers 1

IdentifierTypeStateIssuer
017804811MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Camen Behavioral Services7 organizations share this tax ID, including this one
Part of
Camen Behavioral Services

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1200 N Central Ave
Kissimmee, FL 34741
Phone (407) 201-7429

5959 Lk Ellenor Dr
Orlando, FL 32809
Phone (407) 347-4958

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1553385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1720548860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 LAKE ELLENOR DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328094633",
            "telephone_number": "321-972-4039",
            "fax_number": "321-445-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 W IRLO BRONSON MEMORIAL HWY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347465326",
            "telephone_number": "407-978-6085",
            "fax_number": "321-445-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMEN BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAMEN BEHAVIORAL SERVICES, LLC",
        "enumeration_date": "2019-03-24",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "LOTTMAN",
        "authorized_official_first_name": "CLAIRE",
        "authorized_official_middle_name": "ALEXIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-972-4039",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017804811",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.