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General NPI Number Information
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NPI Number | 1720548860
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Entity Type | Organization
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Legal Business Name | CAMEN BEHAVIORAL SERVICES, LLC
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Dates
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Enumeration Date | 03/24/2019
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 4727 W IRLO BRONSON MEMORIAL HWY
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City | KISSIMMEE
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State | FL
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Zip | 34746-5326
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Country | US
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Telephone | 407-978-6085
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Fax | 321-445-9760
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Provider Business Mailing Address
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Address Line | 5959 LAKE ELLENOR DR
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City | ORLANDO
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State | FL
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Zip | 32809-4633
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Country | US
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Telephone | 321-972-4039
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Fax | 321-445-9760
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Authorized Official
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Title or Position | CEO
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Name | CLAIRE ALEXIS LOTTMAN
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Credential | BCBA
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Telephone | 321-972-4039
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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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