Healthcare Provider Details

I. General information

NPI: 1356274724
Provider Name (Legal Business Name): JUDITH CAMERINO MARAMION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2136 DOGWOOD CREEK CT APT 202
COLLIERVILLE TN
38017-7874
US

IV. Provider business mailing address

2136 DOGWOOD CREEK CT APT 202
COLLIERVILLE TN
38017-7874
US

V. Phone/Fax

Practice location:
  • Phone: 662-552-8860
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: