Individual
LAUREN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
100 INTREPID LN, SYRACUSE, NY 13205-2546
(315) 927-3940
Mailing address
2513 SUNSET AVE, UTICA, NY 13502-5851
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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