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Individual

VINCENT PHILIP CAMACHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1600 N BEAUREGARD ST, ALEXANDRIA, VA 22311-1704
(703) 996-3135
Mailing address
1600 N BEAUREGARD ST, ALEXANDRIA, VA 22311-1704
(703) 996-3135

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-74766
VA
106S00000X
Behavior Technician
RBT-19-107331
VA

Other

Enumeration date
12/09/2019
Last updated
09/17/2024
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