Campbell, Tina L

Campbell, Tina L is an individual health care provider with primary practice located at 1460 Nw Vivion Rd , Kansas City MO 64118-4555. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Campbell, Tina L can be contacted via phone (816) 853-0946.

Contact Information

Primary practice address
1460 Nw Vivion Rd Kansas City MO 64118-4555
Phone: (816) 853-0946
Fax: (816) 396-8809
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1154050334
LBN Legal business name Campbell, Tina L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2022
Last updated Jun 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154050334 NPPES
Other RBT-22-206241 BEHAVIOR ANALYST CERTIFICATION BOARD

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