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Aquarius Campbell

Behavior Technician in Phoenix, AZ. Individual provider (NPI-1).

NPI number1982306049
StatusActive
Last updated in NPPESMar 21, 2023

Details

NPI
1982306049
Entity type
Individual (NPI-1)
Name
Aquarius Campbell
Sex
Female
Sole proprietor
No
Enumeration date
Mar 21, 2023
Certification date
Mar 21, 2023
Last updated
Mar 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

10835 N 25th Ave Ste 125
Phoenix, AZ 85029-3461

Phone 602-632-2546

Mailing address

10835 N 25th Ave Ste 125
Phoenix, AZ 85029-3461

Phone 602-632-2546

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