Active NPI
Victoria Campbell
- Behavior Technician
- Elk Grove, CA
National Provider Identifier
1710339411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 2230 Longport CT Ste 130
Elk Grove, CA 95758-7182 - Phone
- (916) 547-8747
- NPI assigned
- Jul 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
2230 Longport CT Ste 130
Elk Grove, CA 95758-7182
Mailing address
7200 Jacinto Ave Unit 4304
Sacramento, CA 95823-7558
Other practice location 1
1 Crow Canyon Ct
San Ramon, CA 94583-1928
Phone (408) 624-6515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1467763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1710339411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 JACINTO AVE UNIT 4304",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958237558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 LONGPORT CT STE 130",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587182",
"telephone_number": "916-547-8747"
}
],
"practiceLocations": [
{
"address_1": "1 Crow Canyon Ct",
"address_purpose": "LOCATION",
"city": "San Ramon",
"state": "CA",
"postal_code": "945831928",
"country_code": "US",
"telephone_number": "408-624-6515",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-06",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.