Tara Campbell

NPI #1114753894 in Normal, Illinois

Provider Information

NPI Number: 1114753894
Entity Type: Individual
Name: Tara Campbell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 10, 2024
Last Updated: Sep 10, 2024

Practice Location

Address: 1302 FRANKLIN AVE
City: Normal
State: Illinois
ZIP Code: 61761-3551
Phone: (309) 531-4638

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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