Individual
JESSICA NICOLE CAMACHO LEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
102 W 3RD ST STE 1000, WINSTON SALEM, NC 27101-3996
(704) 970-0946
Mailing address
102 W 3RD ST STE 1000, WINSTON SALEM, NC 27101-3996
(704) 970-0946
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69047
NC
Other
Enumeration date
03/09/2021
Last updated
02/25/2025
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