Provider Demographics
NPI:1427593623
Name:CAMP, DAYSHA
Entity Type:Individual
Prefix:
First Name:DAYSHA
Middle Name:
Last Name:CAMP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DAYSHA
Other - Middle Name:
Other - Last Name:CAMP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1901 WESTBANK EXPY
Mailing Address - Street 2:SUITE 550
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-4366
Mailing Address - Country:US
Mailing Address - Phone:504-669-5898
Mailing Address - Fax:
Practice Address - Street 1:1901 WESTBANK EXPY
Practice Address - Street 2:SUITE 550
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-4366
Practice Address - Country:US
Practice Address - Phone:504-669-5898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-23
Last Update Date:2016-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician