Individual
BRANDON A CAMPO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 MAIN ST UNIT 0, STURBRIDGE, MA 01566
(774) 241-0013
(508) 462-5839
Mailing address
54 MAIN ST UNIT 0, STURBRIDGE, MA 01566-1281
(774) 241-0013
(508) 462-5839
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2284
MA
Other
Enumeration date
11/08/2017
Last updated
08/28/2018
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