MEDICARE: VONNAE CAMPBELL

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
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1982355459
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VONNAE CAMPBELL

Provider Business Mailing Address
First Line	:	347 MANHATTAN AVE
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-5532
Country	:	US
Telephone Number	:	631-332-5907
Fax Number	:

Provider Business Practice Location Address
First Line	:	347 MANHATTAN AVE
Second Line	:
City	:	WEST BABYLON
State	:	NY
Zip	:	11704-5532
Country	:	US
Telephone Number	:	631-332-5907
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2022
Last Update Date	:	01/15/2022

Similar Medicare Providers

1497832083 — DR. LYSA CHARLES MD
Practice Location Address:

2101 E JEFFERSON ST PPQA MEDICARE COMPLIANCE UNT 6 WEST , KAISER PERMANENTE MID ATLANTIC PERMANENTE MEDICAL GROUP
ROCKVILLE, MD
20852-4908

Practice Phone: 301-816-6660
Practice Fax: 301-816-6308

1295455624 — JENNY LYNN LOVE
Practice Location Address:

2 PINE WEST PLZ STE 205
ALBANY, NY
12205-5532

Practice Phone: 518-265-9034
Practice Fax:

1982692968 — PATRICIA K. WALTHER CRNA
Practice Location Address:

6015 POINTE WEST BLVD
BRADENTON, FL
34209-5532

Practice Phone: 941-792-1404
Practice Fax: 941-761-0712

1780674010 — LISA A SEBASTIAN CRNA
Practice Location Address:

6015 POINTE WEST BLVD
BRADENTON, FL
34209-5532

Practice Phone: 941-792-1404
Practice Fax: 941-761-0712

1033171939 — MR. STEVEN STANLEY WALTHER CRNA
Practice Location Address:

6015 POINTE WEST BLVD
BRADENTON, FL
34209-5532

Practice Phone: 941-792-1404
Practice Fax: 941-761-0712

1356304992 — GINETTE LYNN IMLER CRNA
Practice Location Address:

6015 POINTE WEST BLVD
BRADENTON, FL
34209-5532

Practice Phone: 941-792-1404
Practice Fax: 941-761-0712

Directions to “ VONNAE CAMPBELL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.