Individual
MIKAYLA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., BCBA, LBA
Contact information
Practice address
1426 E BRADFORD PKWY STE J, SPRINGFIELD, MO 65804-6884
(314) 275-0506
Mailing address
152 W BRITTANY CT, REPUBLIC, MO 65738-2771
(208) 446-8218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
07/28/2023
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