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Individual

MS. EVAN CAMPA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA

Contact information

Practice address
1211 21ST AVE S, SUITE 110, NASHVILLE, TN 37212-2717
(615) 343-4275
(615) 936-2763
Mailing address
1211 21ST AVE S, SUITE 110, NASHVILLE, TN 37212-2717
(615) 343-4275
(615) 936-2763

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1084669
TN

Other

Enumeration date
06/30/2011
Last updated
10/09/2012
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