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Individual

BRIAN PHELPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.ED., BCBA, LBA

Contact information

Practice address
11311 BUSINESS CENTER DR STE C, NORTH CHESTERFIELD, VA 23236-3199
(804) 378-6141
(804) 378-6183
Mailing address
13708 GOLF COURSE RD, CHESTER, VA 23836-5603
(804) 895-2572

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133000812
VA

Other

Enumeration date
09/27/2016
Last updated
09/27/2016
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