Individual
KOURTNEY CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 STEVENS ST SW, GRAND RAPIDS, MI 49507-1526
(616) 469-3870
Mailing address
802 E RIDGEWAY AVE, FLINT, MI 48505-2918
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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