Amber Campbell

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

Practice address

1650 W Main St
Leesburg, FL 34748-2841

Phone

(352) 314-3760

NPI assigned

Nov 3, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1821500554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6891 SE 103RD PL",
            "city": "BELLEVIEW",
            "state": "FL",
            "postal_code": "344209324",
            "telephone_number": "352-504-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W MAIN ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347482841",
            "telephone_number": "352-314-3760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6891 SE 103rd Pl",
            "address_purpose": "LOCATION",
            "city": "Belleview",
            "state": "FL",
            "postal_code": "344209324",
            "country_code": "US",
            "telephone_number": "352-504-6881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMBER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023021000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C I Lin PA
• Jean Elizabeth Cain, SLP CCC
• Mario Cambronne
• Wanda Flowers Cambronne
• Colleen Camp, CRNA
• Kevin Campbell, PTA
• Lajuana D Campbell, APRN
• Lindsay Campbell
• Robert Loy Campbell Jr., LCSW
• Cancer Centers of Central Florida PA

• Assistant Behavior Analyst in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Assistant Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.