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Individual

AMBER PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
475 WATTERS ST NE, ROME, GA 30161-5487
(770) 339-3475
Mailing address
475 WATTERS ST NE, ROME, GA 30161-5487
(770) 339-3475

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43230
GA
103K00000X
Behavior Analyst
Primary
LBA000356
GA

Other

Enumeration date
10/04/2018
Last updated
05/13/2026
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