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NPI Code Detail

MEDICARE: CAMERON BARNDT

MEDICARE: CAMERON BARNDT
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
1106S00000XBehavior Technician
2106H00000XMarriage & Family Therapist205690TX

General Provider Information

NPI Number : 1679130579
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMERON BARNDT
Provider Business Mailing Address
First Line : 21600 OXNARD ST STE 1800
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-7807
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 9901 W IH 10 STE 775
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78230-1781
Country : US
Telephone Number : 210-957-1668
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2019
Last Update Date : 11/12/2024

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