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General NPI Number Information
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NPI Number | 1003481557
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Entity Type | Individual
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Provider Name | CAMILA ANDREA GAMEZ YOUNG
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Gender | Female
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 5425 GOLDEN GATE PKWY STE 7
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City | NAPLES
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State | FL
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Zip | 34116-7524
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Country | US
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Telephone | 239-778-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 8478 BUTTERNUT RD
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City | FORT MYERS
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State | FL
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Zip | 33967-3462
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Country | US
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Telephone | 646-660-5924
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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