Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cameron Anttwan Birmingham

Individual provider Drama Therapist · NPI 1679147938

Cameron Anttwan Birmingham is a Drama Therapist in Independence, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1825 S Brookstone Village Dr
Independence, MO 64057
Phone: (816) 216-0143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence A176245003 (MO)
Drama Therapist Taxonomy 101200000X · Licence A176245003 (MO)

Record details

NPI number1679147938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateApril 28, 2021
Mailing address1825 S Brookstone Village Dr, Apt 203, Independence, MO 64057