Most Relevant Information
Provider Data
| NPI Number: | 1003463886 |
| Provider Name: | JOHN CAMACHO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/26/2019 |
| Last Updated: | 09/05/2019 |
Provider Practice Location
1100 S 2ND ST
MOUNT VERNON
WA
982734209
Practice Location Phone/Fax
| Phone: | 3604193500 |
| Fax: |
Provider Mailing Location
1100 S 2ND ST
MOUNT VERNON
WA
982734209
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |