Individual
MS. EMMA KATHLEEN REICHERT CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
PO BOX 46, MORRISONVILLE, IL 62546-0046
(217) 652-8563
Mailing address
203 MINTON ST, CARLINVILLE, IL 62626-1265
(217) 652-8563
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66855
IL
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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