Provider Demographics
NPI:1942945043
Name:CAMPBELL, DANIELLA R (RBT)
Entity Type:Individual
Prefix:MRS
First Name:DANIELLA
Middle Name:R
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 SAWDUST RD # F
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77380-2366
Mailing Address - Country:US
Mailing Address - Phone:346-351-2923
Mailing Address - Fax:346-229-1676
Practice Address - Street 1:307 SAWDUST RD # F
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77380-2366
Practice Address - Country:US
Practice Address - Phone:346-351-2923
Practice Address - Fax:346-229-1676
Is Sole Proprietor?:No
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXRBT-18-69957106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician