Individual
JAKOB WILLIAM CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12001 MENAUL BLVD NE APT 18, ALBUQUERQUE, NM 87112-2450
(517) 525-2425
Mailing address
12001 MENAUL BLVD NE APT 18, ALBUQUERQUE, NM 87112-2450
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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