Provider Demographics
NPI:1477215077
Name:CAMACHO, NAYKELIE (RBT)
Entity Type:Individual
Prefix:
First Name:NAYKELIE
Middle Name:
Last Name:CAMACHO
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 E MILLER ST
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-3570
Mailing Address - Country:US
Mailing Address - Phone:407-683-1072
Mailing Address - Fax:407-269-5888
Practice Address - Street 1:32 E MILLER ST
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-3570
Practice Address - Country:US
Practice Address - Phone:407-683-1072
Practice Address - Fax:407-269-5888
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty