Individual
CAMERYN N LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4471 STONERIDGE DR STE A, PLEASANTON, CA 94588-8403
(925) 425-9071
Mailing address
4471 STONERIDGE DR STE A, PLEASANTON, CA 94588-8403
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
17919
CA
Other
Enumeration date
06/25/2020
Last updated
08/06/2023
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