Organization
PHILLIPS ABA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA ANN PHILLIPS BCBA, LBA (OWNER/BCBA)
(276) 494-2178
Entity
Organization
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
1-16-21866
VA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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