Individual
CAMILLE SCOTT TOLLIVER
Active
Individual
CAMILLE SCOTT TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
08/20/2021
Last updated
05/03/2026
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