Individual
JONATHAN B CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1369 N PACIFIC HWY, WOODBURN, OR 97071-3617
(971) 338-7761
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
10211838
OR
106S00000X
Behavior Technician
Primary
10211838
OR
Other
Enumeration date
06/14/2021
Last updated
06/21/2021
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