Individual
CAROL CORBETT PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7360 MCGINNIS FERRY RD STE 100, JOHNS CREEK, GA 30024-6603
(866) 750-5554
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
(866) 750-5554
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
GA
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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