Kourtney Campbell
Assistant Behavior Analyst in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1073408704
StatusActive
Last updated in NPPESJun 11, 2025
Details
- NPI
- 1073408704
- Entity type
- Individual (NPI-1)
- Name
- Kourtney Campbell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 11, 2025
- Certification date
- Jun 11, 2025
- Last updated
- Jun 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | – | – | Yes |
Practice location
120 Stevens St SwGrand Rapids, MI 49507-1526
Phone 616-469-3870
Mailing address
802 E Ridgeway AveFlint, MI 48505-2918
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Assistant Behavior Analyst providers in Grand Rapids · All 20,987 providers in Grand Rapids
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