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Individual

JALEN DEJON CAMPBELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
260 PEACHTREE ST NW STE 2200, ATLANTA, GA 30303-1292
(678) 643-8728
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
(877) 418-2978
(866) 500-2186

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
GA

Other

Enumeration date
04/30/2024
Last updated
04/30/2024
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