Individual
MR. CAMERON TYLER FATERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
47 GOLDEN EAGLE, IRVINE, CA 92603-0308
(949) 439-6858
Mailing address
47 GOLDEN EAGLE, IRVINE, CA 92603-0308
(949) 387-2799
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/21/2019
Last updated
01/21/2019
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