MEDICARE: CAMELA LETTRIES

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

General Provider Information

NPI Number	:	1699265355
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMELA LETTRIES

Provider Business Mailing Address
First Line	:	2856 TENNIS CLUB DR APT 401
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-2947
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2856 TENNIS CLUB DR APT 401
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-2947
Country	:	US
Telephone Number	:	310-954-6653
Fax Number	:

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

Provider Enumeration Date	:	05/17/2018
Last Update Date	:	05/17/2018

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Directions to “ CAMELA LETTRIES ” Practice Location

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