Individual
KAYLA CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14711 S RAVINIA AVE, ORLAND PARK, IL 60462-3100
(815) 469-1500
Mailing address
14711 S RAVINIA AVE, ORLAND PARK, IL 60462-3100
(815) 469-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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