Provider Demographics
NPI:1053828087
Name:OCAMPO, KAREN VANESSA
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:VANESSA
Last Name:OCAMPO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11531 POES ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-6753
Mailing Address - Country:US
Mailing Address - Phone:714-818-0159
Mailing Address - Fax:
Practice Address - Street 1:11531 POES ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92804-6753
Practice Address - Country:US
Practice Address - Phone:714-818-0159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-29
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst