Healthcare Provider Details

I. General information

NPI: 1265995435
Provider Name (Legal Business Name): COLLABORATIVE AUTISM MANAGEMENT PROGRAMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 PORSCHE WAY STE 325
ONTARIO CA
91764-4935
US

IV. Provider business mailing address

3500 PORSCHE WAY STE 325
ONTARIO CA
91764-4935
US

V. Phone/Fax

Practice location:
  • Phone: 909-481-2080
  • Fax: 909-277-7882
Mailing address:
  • Phone: 909-481-2080
  • Fax: 909-277-7882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVEN JAMES CAMP
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: BCBA
Phone: 760-217-9678