Individual
BRANDON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4008 N ROSEWOOD AVE, MUNCIE, IN 47304-1775
(765) 587-4895
(765) 452-5207
Mailing address
4008 N ROSEWOOD AVE, MUNCIE, IN 47304-1775
(765) 587-4895
(765) 452-5207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-53430
IN
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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