Individual
SUPRISHA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12944 TRAVILAH RD STE C, POTOMAC, MD 20854-1079
(772) 463-0444
(772) 219-1339
Mailing address
13630 COLGATE WAY APT 732, SILVER SPRING, MD 20904-7254
(781) 731-4518
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-25-81824
MD
Other
Enumeration date
12/02/2020
Last updated
06/16/2025
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