MEDICARE: CAMARA STRONG BCBA

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
1	106E00000X	Assistant Behavior Analyst	0-19-9484	FL
2	106S00000X	Behavior Technician	RBT-18-68145	FL
3	103K00000X	Behavior Analyst

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659811966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMARA STRONG BCBA

Provider Business Mailing Address
First Line	:	2000 RIVEREDGE PKWY STE 885
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4674
Country	:	US
Telephone Number	:	248-299-0030
Fax Number	:	321-765-6434

Provider Business Practice Location Address
First Line	:	2000 RIVEREDGE PKWY STE 885
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-4674
Country	:	US
Telephone Number	:	248-299-0030
Fax Number	:	248-912-1566

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	10/03/2022

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Directions to “ CAMARA STRONG BCBA” Practice Location

Language	Start Address	Practice Location

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