Kassandra Campos
Behavior Technician in Irvine, CA. Individual provider (NPI-1).
NPI number1962010728
StatusActive
Last updated in NPPESJul 17, 2020
Details
- NPI
- 1962010728
- Entity type
- Individual (NPI-1)
- Name
- Kassandra Campos
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2020
- Certification date
- Jul 17, 2020
- Last updated
- Jul 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
2372 Morse Ave # 534Irvine, CA 92614-6234
Phone 949-325-4402
Mailing address
2372 Morse Ave # 534Irvine, CA 92614-6234
Phone 949-325-4402
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