Individual
AJA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23504 LYONS AVE STE 301B, SANTA CLARITA, CA 91321-5776
(661) 702-0166
Mailing address
10301 OSO AVE, CHATSWORTH, CA 91311-2542
(818) 631-3278
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-35514
CA
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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