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NPI Code Detail

MEDICARE: CAMILLE LARKINS

MEDICARE: CAMILLE LARKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1174210934
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMILLE LARKINS
Provider Business Mailing Address
First Line : 16782 VON KARMAN AVE STE 11
Second Line :
City : IRVINE
State : CA
Zip : 92606-2417
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 7111 W BELL RD STE 101
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-8552
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2023
Last Update Date : 10/03/2025

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Directions to “ CAMILLE LARKINS ” Practice Location

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