Individual
ALECIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7792 FIRECRACKER TRL, FOUNTAIN, CO 80817-4287
(619) 876-1407
Mailing address
7792 FIRECRACKER TRL, FOUNTAIN, CO 80817-4287
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/20/2021
Last updated
06/20/2021
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