NPI 1073408704

Kourtney Campbell

Practitioner Assistant Behavior Analyst Grand Rapids, MI

Practice location

Address: 120 Stevens St SW, Grand Rapids, MI 49507-1526
Phone: (616) 469-3870
Mailing address: 802 E Ridgeway Ave, Flint, MI 48505-2918

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1073408704
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2025
Record last updated: 11 Jun 2025

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.