Individual
AHILINE CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1063 MCGAW AVE STE 100, IRVINE, CA 92614-5554
(714) 834-1111
Mailing address
2102 S SPINNAKER ST, ANAHEIM, CA 92802-4930
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
05/01/2018
Last updated
08/31/2021
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