Individual
BRIANNA RENEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
575 BUSSE HWY UNIT C, PARK RIDGE, IL 60068-3189
(815) 469-1500
Mailing address
575 BUSSE HWY UNIT C, PARK RIDGE, IL 60068-3189
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-63837
OK
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/08/2018
Last updated
08/22/2024
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