Camille Elizabeth Callahan

Individual provider Active NPI Behavior Analyst · Camarillo, CA

NPI 1801419957 · NPPES record last updated May 26, 2020

Key facts

NPI
1801419957
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
2009 Las Estrellas CT
Camarillo, CA 93012-4070
Phone
(805) 407-4533
NPI assigned
May 23, 2020
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Its Behavioral Behavior Analyst Past
since May 31, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

2009 Las Estrellas CT
Camarillo, CA 93012-4070

Mailing address

2981 Sioux Ave
Ventura, CA 93001-1231
Phone (805) 302-1673

Other providers in Camarillo, CA

All providers in Camarillo, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.