Active NPIIndividual provider

Carissa J Campos

Behavior Technician in Bridgeport, Connecticut

NPI Number1356973093
Practice location
89 Hawthorne St, Bridgeport, CT 06610-1606
Fax
—
Last updated
February 11, 2020

Carissa Jasmin Campos is a Behavior Technician based in Bridgeport, CT. Carissa Jasmin Campos practices in Bridgeport, CT. The NPI Number for Carissa Jasmin Campos is 1356973093. The current practice location address for Carissa Jasmin Campos is 89 Hawthorne St, Bridgeport, CT 06610-1606 and can be reached out via phone at 203-543-1592.

Provider Profile Details

NPI Number
1356973093
Provider Name
Carissa Jasmin Campos
Provider Entity Type
Individual
Gender
Female
Address
89 Hawthorne St, Bridgeport, CT 06610-1606
Phone Number
203-543-1592
Primary Taxonomy
Behavior Technician · 106S00000X
Sole Proprietor
No
Provider Enumeration Date
February 11, 2020
Last Update Date
February 11, 2020
Certification Date
February 11, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
89 Hawthorne St
Bridgeport, CT 06610-1606
Zip
06610-1606
Phone Number
203-543-1592
Bridgeport, CT 06610Get directions →

Provider Business Mailing Address Details

Address
89 Hawthorne St
Bridgeport, CT 06610-1606
City
Bridgeport
State
CT
Zip
06610-1606
Phone Number
203-543-1592

License Information

Taxonomy
Behavior Technician · 106S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carissa J Campos?

The NPI number of Carissa J Campos is 1356973093. It was assigned on February 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Carissa J Campos?

Carissa J Campos is registered under the primary taxonomy Behavior Technician (code 106S00000X).

Where does Carissa J Campos practice?

The practice location is 89 Hawthorne St, Bridgeport, CT 06610-1606. The office can be reached at 203-543-1592 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356973093 directly on the NPPES registry website.

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