Most Relevant Information
Provider Data
| NPI Number: | 1003505074 |
| Provider Name: | BRANDON CAMPBELL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2023 |
| Last Updated: | 05/04/2023 |
Provider Practice Location
2120 E LA SALLE ST
COLORADO SPRINGS
CO
809092218
Practice Location Phone/Fax
| Phone: | 7194664809 |
| Fax: |
Provider Mailing Location
2120 E LA SALLE ST
COLORADO SPRINGS
CO
809092218
Provider Mailing Phone/Fax
| Phone: | 7194664809 |
| Fax: |