Individual
KYLE CHRISTOPHER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED BEHAVIOR
Contact information
Practice address
14844 W 107TH ST, LENEXA, KS 66215-4002
(720) 319-7614
(816) 777-0626
Mailing address
14844 W 107TH ST, LENEXA, KS 66215-4002
(720) 319-7614
(720) 319-7614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/27/2019
Last updated
02/26/2021
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