Individual
TAMIKA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 DORRANCE ST STE 700, PROVIDENCE, RI 02903-2014
(818) 241-6780
(818) 241-6853
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
(818) 241-6780
(818) 241-6853
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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