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AUTUMN JADE PHIPPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10510 SPOTSYLVANIA AVENUE, FREDERICKSBURG, VA 22408
(540) 479-3908
Mailing address
10510 SPOTSYLVANIA AVENUE, FREDERICKSBURG, VA 22408
(540) 479-3908

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0134000446
VA

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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Product
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  • Eligibility checks
  • EDI platform