Individual
ALYSSA DANIELLE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 SAN CARLOS RD SW APT 5, ALBUQUERQUE, NM 87104-1060
(505) 514-1160
Mailing address
1405 SAN CARLOS RD SW APT 5, ALBUQUERQUE, NM 87104-1060
(505) 514-1160
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NM
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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