Campbell, Amber

Campbell, Amber is an sole proprietor health care provider with primary practice located at 1650 W Main St , Leesburg FL 34748-2841. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Campbell, Amber can be contacted via phone (352) 314-3760.

Contact Information

Primary practice address
1650 W Main St Leesburg FL 34748-2841
Phone: (352) 314-3760
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X

Profile Details

NPI number 1821500554
LBN Legal business name Campbell, Amber
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2017
Last updated Oct 11th, 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 1821500554 NPPES
Florida MEDICAID 023021000

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