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NPI Code Detail

MEDICARE: MRS. JULIE ANN CAMPBELL BCBA

MEDICARE: MRS. JULIE ANN CAMPBELL BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst12042785
2103K00000XBehavior Analyst1-20-42785CO

General Provider Information

NPI Number : 1871095042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JULIE ANN CAMPBELL BCBA
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number : 855-324-0885
Fax Number : 317-520-8200
Provider Business Practice Location Address
First Line : 18737 E HAMPDEN AVE
Second Line :
City : AURORA
State : CO
Zip : 80013-3557
Country : US
Telephone Number : 303-656-2213
Fax Number : 317-520-8200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2018
Last Update Date : 11/29/2022

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