Provider Demographics
NPI:1407688278
Name:NAIM, CAMERON
Entity type:Individual
Prefix:MR
First Name:CAMERON
Middle Name:
Last Name:NAIM
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 1:2353 NETTLEFORD WAY
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23453-2894
Mailing Address - Country:US
Mailing Address - Phone:703-622-0066
Mailing Address - Fax:
Practice Address - Street 1:908 SALISBURY GRN
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6123
Practice Address - Country:US
Practice Address - Phone:757-406-7397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician