Kelly Campos
Behavior Technician in Boise, ID. Individual provider (NPI-1).
NPI number1104770940
StatusActive
Last updated in NPPESFeb 26, 2026
Details
- NPI
- 1104770940
- Entity type
- Individual (NPI-1)
- Name
- Kelly Campos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2026
- Certification date
- Feb 25, 2026
- Last updated
- Feb 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | ID | Yes |
Practice location
1087 E Park Blvd # 100Boise, ID 83712-7722
Phone 208-369-9168 · Fax 800-513-7773
Mailing address
8457 W Donnybrook DrBoise, ID 83709-0641
Phone 208-805-7954
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All 287 Behavior Technician providers in Boise · All 12,265 providers in Boise
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