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NPI Code Detail

MEDICARE: JAMIE ALTOON

MEDICARE:   JAMIE  ALTOON
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
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1376320416
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE ALTOON
Provider Business Mailing Address
First Line : 1 UNIVERSITY DR # H103
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8599
Country : US
Telephone Number : 818-472-1122
Fax Number :
Provider Business Practice Location Address
First Line : 1 UNIVERSITY DR # H103
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-8599
Country : US
Telephone Number : 818-472-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2023
Last Update Date : 09/12/2023

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Directions to “ JAMIE ALTOON ” Practice Location

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