MEDICARE: CAMORI JANAE RHODES BCBA

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
1	103K00000X	Behavior Analyst	1-25-83383	GA

General Provider Information

NPI Number	:	1609441443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMORI JANAE RHODES BCBA

Provider Business Mailing Address
First Line	:	8437 GLENWOODS DR
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-4362
Country	:	US
Telephone Number	:	404-254-8468
Fax Number	:

Provider Business Practice Location Address
First Line	:	259 ARROWHEAD BLVD
Second Line	:
City	:	JONESBORO
State	:	GA
Zip	:	30236-1167
Country	:	US
Telephone Number	:	770-341-6519
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2021
Last Update Date	:	04/06/2026

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