Individual
MR. LUIS ALBERTO CAMARENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 EPHESUS CT, EL PASO, TX 79927-4315
(915) 630-9465
Mailing address
415 EPHESUS CT, EL PASO, TX 79927-4315
(915) 630-9465
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
262028616
TAX ID
NM
Enumeration date
01/25/2012
Last updated
01/25/2012
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