Individual
NICOLE PADEN-CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 HAINES, LIBERTY, MO 64068-1006
(816) 265-1170
Mailing address
120 SW GARDEN ST, GRAIN VALLEY, MO 64029-9548
(816) 265-1170
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-470120
MO
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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