Individual
JESSICA CAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
538 BROADHOLLOW RD, MELVILLE, NY 11747-3676
(631) 385-7780
Mailing address
115 PATCHOGUE HOLBROOK RD, LAKE RONKONKOMA, NY 11779-5721
(631) 560-4084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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