Individual
KELLY CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 E PARK BLVD # 100, BOISE, ID 83712-7722
(208) 369-9168
(800) 513-7773
Mailing address
8457 W DONNYBROOK DR, BOISE, ID 83709-0641
(208) 805-7954
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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