Provider Demographics
NPI:1881456382
Name:CARCAMO, JULIUS HAVIER
Entity type:Individual
Prefix:
First Name:JULIUS
Middle Name:HAVIER
Last Name:CARCAMO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7160 PRESTON RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3283
Mailing Address - Country:US
Mailing Address - Phone:972-769-5938
Mailing Address - Fax:
Practice Address - Street 1:7160 PRESTON RD STE 200
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3283
Practice Address - Country:US
Practice Address - Phone:972-769-5938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23298133103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst