Individual
MCCAYLA N CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
256 HONEYSUCKLE RD STE 4, DOTHAN, AL 36305-1168
(334) 792-5020
Mailing address
256 HONEYSUCKLE RD STE 4, DOTHAN, AL 36305-1168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-261869
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-261869
RBT-23-261869
—
Enumeration date
05/17/2023
Last updated
05/17/2023
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