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Contact Information

KELLY L CAMPBELL
144 MAIN ST STE G
EAST HARTFORD, CT06118-3239
 Phone: 888-754-0398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for KELLY L CAMPBELL · (Female)

NPI Number 1265932701
Status Active
Credentials
Entity Individual
Enumeration date 02/20/2018
Last updated 11/14/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 1-21-50471
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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