Individual
KELLY LYNN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 MAIN ST STE G, EAST HARTFORD, CT 06118-3239
(888) 754-0398
Mailing address
1333 S MAYFLOWER AVE STE 220, MONROVIA, CA 91016-4066
(818) 241-6780
(800) 819-7806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50471
CT
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/20/2018
Last updated
11/14/2022
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