Provider Demographics
NPI:1659142370
Name:CAMRON, BRHYDE (RBT)
Entity Type:Individual
Prefix:
First Name:BRHYDE
Middle Name:
Last Name:CAMRON
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 1:7925 NW 12TH ST STE 130
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33126-1820
Mailing Address - Country:US
Mailing Address - Phone:786-870-5090
Mailing Address - Fax:305-418-7405
Practice Address - Street 1:7925 NW 12TH ST STE 130
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33126-1820
Practice Address - Country:US
Practice Address - Phone:786-870-5090
Practice Address - Fax:305-418-7405
Is Sole Proprietor?:No
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician