Provider Demographics
NPI:1851927305
Name:CAMPBELL, CHRISTI NICOLE (ABA)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:NICOLE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:ABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 REGIONAL DR STE 7
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-8518
Mailing Address - Country:US
Mailing Address - Phone:603-224-7630
Mailing Address - Fax:603-410-1105
Practice Address - Street 1:580 LACONIA RD
Practice Address - Street 2:
Practice Address - City:TILTON
Practice Address - State:NH
Practice Address - Zip Code:03276-5321
Practice Address - Country:US
Practice Address - Phone:603-224-7630
Practice Address - Fax:603-410-1105
Is Sole Proprietor?:No
Enumeration Date:2020-03-17
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst