Individual
JAKALYA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4284 TRAIL BOSS DR, CASTLE ROCK, CO 80104-7521
(331) 229-8839
Mailing address
2180 S COLORADO BLVD UNIT 257, DENVER, CO 80222-4981
(907) 482-0580
(907) 482-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
CO
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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