Healthcare Provider Details

I. General information

NPI: 1033033097
Provider Name (Legal Business Name): CAMILA ROMERO CHERONE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 BROAD WINGED HAWK DR
RUSKIN FL
33570-4957
US

IV. Provider business mailing address

1715 BROAD WINGED HAWK DR
RUSKIN FL
33570-4957
US

V. Phone/Fax

Practice location:
  • Phone: 727-851-4454
  • Fax:
Mailing address:
  • Phone: 727-851-4454
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-2833536
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: