Madonna Angela Campbell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

27777 Inkster Rd
Farmington Hills, MI 48334-5310

Phone

(248) 436-4400

NPI assigned

Apr 17, 2018

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

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1144717976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27777 INKSTER RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483345310",
            "telephone_number": "248-436-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4875 Eisenhower Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223044833",
            "country_code": "US",
            "telephone_number": "571-290-0143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MADONNA",
        "middle_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khadijah Campbell
• Krystal Campbell
• Latasha Campbell
• Lavyda Campbell
• Mache Campbell
• Marissa Campbell
• Mark Campbell
• Mark D Campbell, D.C.
• Markeshia Campbell
• Megan Campbell

• Behavior Technician in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.