Individual
ALIVIA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4940 NORTHDALE BLVD, TAMPA, FL 33624-1075
(813) 485-8444
Mailing address
4940 NORTHDALE BLVD, TAMPA, FL 33624-1075
(813) 485-8444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
BCBA
FL
01
—
1-17-25000
BCBA
FL
Enumeration date
08/29/2012
Last updated
01/27/2023
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