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NPI Code Detail

MEDICARE: KAYLENE CAMARA BCABA

MEDICARE: KAYLENE CAMARA BCABA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst

General Provider Information

NPI Number : 1386056133
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLENE CAMARA BCABA
Provider Business Mailing Address
First Line : 61 LANDING DR
Second Line :
City : TAUNTON
State : MA
Zip : 02780-4966
Country : US
Telephone Number : 508-455-6200
Fax Number :
Provider Business Practice Location Address
First Line : 33 PERRY AVE
Second Line :
City : ATTLEBORO
State : MA
Zip : 02703-2417
Country : US
Telephone Number : 508-455-6200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2014
Last Update Date : 05/28/2014

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Directions to “ KAYLENE CAMARA BCABA” Practice Location

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