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NPI 1265995435

NPI 1265995435 : COLLABORATIVE AUTISM MANAGEMENT PROGRAMS INC. : ONTARIO, CA

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General NPI Number Information
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    NPI Number           |    1265995435
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    Entity Type          |    Organization 
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    Legal Business Name  |    COLLABORATIVE AUTISM MANAGEMENT PROGRAMS INC. 
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Dates
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    Enumeration Date     |    04/12/2019
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    Last Update Date     |    07/09/2025
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Provider Practice Location Address
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    Address Line         |    3500 PORSCHE WAY STE 325 
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91764-4935
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    Country              |    US
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    Telephone            |    909-481-2080
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    Fax                  |    909-277-7882
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Provider Business Mailing Address
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    Address Line         |    3500 PORSCHE WAY STE 325 
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    City                 |    ONTARIO
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    State                |    CA
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    Zip                  |    91764-4935
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    Country              |    US
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    Telephone            |    909-481-2080
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    Fax                  |    909-277-7882
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Authorized Official
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    Title or Position    |    OWNER/CLINICAL DIRECTOR
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    Name                 |     STEVEN JAMES CAMP 
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    Credential           |    BCBA
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    Telephone            |    760-217-9678
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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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        |    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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