Organization
PROSPECTIVE SKILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DIANE CAMPBELL M.ED, BCBA ,LBA (OWNER, BCBA)
(540) 424-7721
Entity
Organization
Contact information
Practice address
104 BASALT DR, FREDERICKSBURG, VA 22406-7228
(540) 424-7721
Mailing address
105 CYPRESS MANOR CT, JACKSONVILLE, NC 28540-4052
(540) 424-7721
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336707504
—
VA
Enumeration date
03/20/2023
Last updated
03/20/2023
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