Individual
JESSICA YVONNE CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
14423 W MCDOWELL RD, GOODYEAR, AZ 85395-2517
(623) 303-3211
Mailing address
12729 W WELLS ST, EL MIRAGE, AZ 85335-4924
(623) 755-4917
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BEH-001216
AZ
Other
Enumeration date
09/03/2020
Last updated
08/07/2025
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