Jessica L Campbell, BCABA

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

5250 Lovers LN Ste 130
Portage, MI 49002-1579

Phone

(269) 425-1536

NPI assigned

Oct 25, 2018

Last updated

May 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enhanced Behavioral Respite Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Saginaw, MI
  • NPI 1619503356
  NPD
• ABA Pathways, LLC

  • Behavior Analyst
  • Ann Arbor, MI
  • NPI 1770838468
  NPD (past)
• ABA Programming Inc.

  • Behavior Analyst
  • Indianapolis, IN
  • NPI 1770706160
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1134696354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 663",
            "city": "LAKELAND",
            "state": "MI",
            "postal_code": "481430663",
            "telephone_number": "734-203-0181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LOVERS LN STE 130",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021579",
            "telephone_number": "269-425-1536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Saint Andrews Rd Ste 407",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486385977",
            "country_code": "US",
            "telephone_number": "989-341-3653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JESSICA",
        "middle_name": "L",
        "credential": "BCABA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aerion Caldwell
• Erin Callahan
• Janis Callahan
• Erin Camburn
• Amber Deshaun Campbell, MD
• Kelly Renee Campbell, OT
• Linda M Campbell, PA
• Carelinc Medical Equipment & Supply Co LLC
• Careline Hmi500 LLC (Careline Hospice)
• Jennifer Margaret Carman, MD

• Assistant Behavior Analyst in Portage, MI
• Providers in Portage, MI by specialty
• Assistant Behavior Analyst in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.