Jaclyn Marie Campbell
Behavior Technician
2500 Packard St Ste 206
Ann Arbor
, Michigan 48104-6827
Jaclyn Marie Campbell
Behavior Technician
2500 Packard St Ste 206
Ann Arbor
, Michigan 48104-6827
(269) 321-9556
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About
Features
Specialties
- Behavior Technician
Languages spoken
- English
Location
First Address
- Jaclyn Marie Campbell
- 526 W Centre Ave
- Portage, MI
- Zip : 49024-5306
- Phone : (269) 321-9556
Second Address
- Jaclyn Marie Campbell
- 2500 Packard St Ste 206
- Ann Arbor, MI
- Zip : 48104-6827
- Phone : (269) 321-9556
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician |
National Provider Identifier
| NPI | 1003384082 |
|---|---|
| Provider Name | Jaclyn Marie Campbell |
| First Address | Portage, MI 49024-5306 |
| Second Address | Ann Arbor, MI 48104-6827 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2018 |
| Last Update Date | 07/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.