Healthcare Provider Details

I. General information

NPI: 1740793926
Provider Name (Legal Business Name): SANDRINE NADIA CAMERON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2017
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 CHERRYBARK RD
APOPKA FL
32703-1571
US

IV. Provider business mailing address

1370 CHERRYBARK RD
APOPKA FL
32703-1571
US

V. Phone/Fax

Practice location:
  • Phone: 321-203-9018
  • Fax:
Mailing address:
  • Phone: 321-203-9018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-17-27762
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: