Vincent Campbell

NPI #1881022432 in Forest Park, Illinois

Provider Information

NPI Number: 1881022432
Entity Type: Individual
Name: Vincent Campbell
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 17, 2013
Last Updated: Oct 17, 2013

Practice Location

Address: 216 LATHROP AVE
Address 2: UNIT 2
City: Forest Park
State: Illinois
ZIP Code: 60130-1289
Phone: (715) 977-0476

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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