Individual
REBECCA ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 SOUTHRIDGE DR, BLOUNTVILLE, TN 37617-4876
(276) 494-2178
Mailing address
112 SOUTHRIDGE DR, BLOUNTVILLE, TN 37617-4876
(276) 494-2178
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000760
VA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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