Trevaughn Campbell

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3400 Richmond Pkwy Apt 1305
Richmond, CA 94806-5219

Phone

(510) 830-6741

NPI assigned

May 24, 2024

Sex

Male

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": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1881433159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 RICHMOND PKWY APT 1305",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065219",
            "telephone_number": "510-830-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 RICHMOND PKWY APT 1305",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948065219",
            "telephone_number": "510-830-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "TREVAUGHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Portsmouth Square Association
• Genoveva Calloway, LCSW
• Navide Kimberley Camacho, P.P.S.
• Branden Camarillo
• Roser Camats Falip, MA, MFT INTERN
• Yecenia Campos
• Erica Levack Canales, MD
• Tron Capistrano
• Alexander Christian Carbonel, DO
• Chelsey Elizabeth Cardenas Reynolds, SURDC

• Behavior Technician in Richmond, CA
• Providers in Richmond, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.