Individual
JESSICA KATHLEEN CAMARILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, BCABA
Contact information
Practice address
2145 NE 164TH ST APT 824, NORTH MIAMI BEACH, FL 33162-4298
(440) 320-6543
Mailing address
2145 NE 164TH ST APT 824, NORTH MIAMI BEACH, FL 33162-4298
(440) 320-6543
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
18-6630-91010
VA
Other
Enumeration date
02/27/2018
Last updated
08/29/2019
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