Individual
KARISSA EILEEN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
217 BRIDGE ST, METUCHEN, NJ 08840
(848) 482-6800
Mailing address
1612 ALLEN RD, SOMERSET, NJ 08873-7496
(848) 482-6800
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-19114
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13684194
CAQH
—
Enumeration date
07/08/2015
Last updated
06/01/2018
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