Individual
KIMBERLY JO PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
695 3RD AVE, JASPER, IN 47546-3602
(917) 688-9644
Mailing address
821 S I ST, RICHMOND, IN 47374-6256
(765) 960-0431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-18-104861
IN
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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