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NPI Code Detail

MEDICARE: CHRISTIAN D CAMERON BCBA

MEDICARE: CHRISTIAN D CAMERON 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
1222Q00000XDevelopmental Therapist
2103K00000XBehavior Analyst1-25-85704GA

General Provider Information

NPI Number : 1700374238
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN D CAMERON BCBA
Provider Business Mailing Address
First Line : 27777 INKSTER RD STE 100
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48334-5312
Country : US
Telephone Number : 877-299-1655
Fax Number :
Provider Business Practice Location Address
First Line : 1410 CUSTER AVE SE
Second Line :
City : ATLANTA
State : GA
Zip : 30316-3304
Country : US
Telephone Number : 404-902-3744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 06/17/2026

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