Individual
CARISSA JASMIN CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
89 HAWTHORNE ST, BRIDGEPORT, CT 06610-1606
(203) 543-1592
Mailing address
89 HAWTHORNE ST, BRIDGEPORT, CT 06610-1606
(203) 543-1592
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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