Cameron T Proefrock, RBT

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

RBT-22-212698 Issued in AZ

Practice address

13601 N Litchfield Rd Ste 124
Surprise, AZ 85379-4260

Phone

(800) 376-3440

NPI assigned

Apr 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• T.E.a.M. 4 Kids, LLC

  • Pediatric Occupational Therapist
  • Surprise, AZ
  • NPI 1386988723

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1982347670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15508 W BELL RD STE 101-261",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742432",
            "telephone_number": "623-606-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 N LITCHFIELD RD STE 124",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794260",
            "telephone_number": "800-376-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROEFROCK",
        "first_name": "CAMERON",
        "middle_name": "T",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-19",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "RBT-22-212698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Price, FNP-C
• Enrique Priego
• Primary Concierge LLC
• Prime Meridian Investment Group
• Priority Home Care Agency LLC
• Kenneth Jason Proefrock, NMD
• Professionl Sitter Plus Healthcare LLC
• Melinda Charlene Proffitt, LPN
• Jamila Protho
• Nicole Pruett

• Behavior Analyst in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.