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Deactivated NPI 1679190607 Deactivated / Inactive NPI Female Practitioner

Cameryn N Long

Speech-Language Pathologist • Pleasanton, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cameryn Long has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2020
NPI Deactivation Date July 13, 2023
Total Practice Duration ~3 Years of Practice (2020 – 2023)

Professional Overview & Biography Verified Profile Summary

Cameryn Long was a registered Speech-Language Pathologist practicing in Pleasanton, CA. Throughout an active medical career spanning 3 years, Cameryn Long provided care at the practice location at 4471 STONERIDGE DR STE A until profile deactivation on 2023-07-13.

Practice Location & Contact Primary Location

Practice Address

4471 Stoneridge Dr Ste A

Pleasanton, CA 945888403

Telephone 9254259071

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Pleasanton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
54 Specialists

Practicing in Pleasanton, CA (13280 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-08-06
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License CA 17919

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sierra Craig , OTR, L

Occupational Therapist

NPI 1265166110

Occupational Therapist Registered, L

Devin Cornish , OTR, L

Occupational Therapist

NPI 1548017866

Occupational Therapist Registered, L

Rebecca Holley , MS

Speech-Language Pathologist

NPI 1689450090

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
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Updated Practice Location August 06, 2023

Registered at 4471 STONERIDGE DR STE A, PLEASANTON, CA 945888403 (Tel: 9254259071)

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Updated Business Mailing Address August 06, 2023

Registered at 4471 STONERIDGE DR STE A, PLEASANTON, CA 945888403

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NPI Profile Deactivated July 13, 2023

Record deactivated on July 13, 2023

NPI Profile Active June 25, 2020

NPI status registered as active in NPPES database

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Updated Practice Location June 25, 2020

Registered at 4196 DOUGLAS BLVD, GRANITE BAY, CA 957465904 (Tel: 9164891376)

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Updated Business Mailing Address June 25, 2020

Registered at PO BOX 5157, MODESTO, CA 953525157 (Tel: 2095722589)

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Provider Name / Credentials Updated June 25, 2020

Recorded as CAMERYN LONG

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2020

Behavior Technician

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Initial NPI Registration & Enumeration June 25, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679190607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2020
Last Update: August 06, 2023
Deactivation Date: July 13, 2023
Sole Proprietor: No

Mailing Address

4471 Stoneridge Dr Ste A

Pleasanton, CA 945888403

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.