Campbell, Clover

Campbell, Clover is an sole proprietor health care provider with primary practice located at 1176 Pelican Bay Dr , Daytona Beach FL 32119-1381. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Campbell, Clover can be contacted via phone (386) 767-3752.

Contact Information

Primary practice address
1176 Pelican Bay Dr Daytona Beach FL 32119-1381
Phone: (386) 767-3752
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1730620618
LBN Legal business name Campbell, Clover
Credentials BS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2017
Last updated Mar 13th, 2017 - about 9 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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