Individual provider · Type 1 NPI

Kelly Campos

Behavior Technician · Boise, ID

NPI number 1104770940 Active

Practice location

1087 E Park Blvd # 100
Boise, ID 83712-7722

Fax (800) 513-7773

Mailing address

8457 W Donnybrook Dr
Boise, ID 83709-0641

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1104770940

Kelly Campos's National Provider Identifier is 1104770940, issued on Feb 26, 2026. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Boise, ID. The record was last updated on Feb 26, 2026.