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NPI Code Detail

MEDICARE: CAMEN BEHAVIORAL SERVICES 2 LLC

MEDICARE: CAMEN BEHAVIORAL SERVICES 2 LLC
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 : 1730042037
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMEN BEHAVIORAL SERVICES 2 LLC
Provider Business Mailing Address
First Line : 5959 LAKE ELLENOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-4633
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 555 MARRIOTT DRIVE SUITE 315
Second Line : OFFICE 359
City : NASHVILLE
State : TN
Zip : 37214-5088
Country : US
Telephone Number : 407-413-6789
Fax Number :
Authorized Official
Title or Position : CFO
Name : DAVID LOTTMAN
Credential :
Telephone Number : 407-413-6789
Provider Enumeration Date : 12/04/2025
Last Update Date : 02/02/2026

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Directions to “CAMEN BEHAVIORAL SERVICES 2 LLC ” Practice Location

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