John Camacho

NPI #1003463886 in Mount Vernon, Washington

Provider Information

NPI Number: 1003463886
Entity Type: Individual
Name: John Camacho
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 26, 2019
Last Updated: Sep 5, 2019

Practice Location

Address: 1100 S 2ND ST
City: Mount Vernon
State: Washington
ZIP Code: 98273-4209
Phone: (360) 419-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary
Counselor	101Y00000X

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