NPI 1043764087

Jessica Campo

Practitioner Behavior Analyst Melville, NY

Practice location

Address: 538 Broadhollow Rd, Melville, NY 11747-3676
Phone: (631) 385-7780
Mailing address: 115 Patchogue Holbrook Rd, Lake Ronkonkoma, NY 11779-5721

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Registry record

NPI: 1043764087
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2016
Record last updated: 8 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.