Healthcare Provider Details

I. General information

NPI: 1669114203
Provider Name (Legal Business Name): CAMP THERAPIES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2022
Last Update Date: 10/30/2025
Certification Date: 10/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6547 BROWNSTONE PL
RANCHO CUCAMONGA CA
91739-2011
US

IV. Provider business mailing address

6547 BROWNSTONE PL
RANCHO CUCAMONGA CA
91739-2011
US

V. Phone/Fax

Practice location:
  • Phone: 949-698-8264
  • Fax: 909-277-7882
Mailing address:
  • Phone: 949-698-8264
  • Fax: 909-415-9415

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW DAVID CAMP
Title or Position: CFO,COO
Credential:
Phone: 949-698-8264