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Individual

SPENCER P PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
203 GREGSON DR, CARY, NC 27511-6495
(919) 461-0600
Mailing address
203 GREGSON DR, CARY, NC 27511-6495
(919) 461-0600

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42824
NC

Other

Enumeration date
09/09/2021
Last updated
09/09/2021
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