Individual
JESSICA L CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
5250 LOVERS LN STE 130, PORTAGE, MI 49002-1579
(269) 425-1536
Mailing address
PO BOX 663, LAKELAND, MI 48143-0663
(734) 203-0181
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
05/03/2024
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