Individual
JOCELYNN B CAMACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CB
Contact information
Practice address
1800 COOPER POINT RD SW STE 21, OLYMPIA, WA 98502-1179
(360) 810-1547
Mailing address
PO BOX 6286, OLYMPIA, WA 98507-6286
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61038378
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB61038378
WASHINGTON STATE DOH
WA
Enumeration date
01/24/2020
Last updated
04/08/2021
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