Individual
CATHERINE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSED
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
NLC.0108526
CO
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/06/2017
Last updated
06/12/2018
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