Individual
EVAN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10001 COORS BYPASS NW APT 1223, ALBUQUERQUE, NM 87114-4148
(708) 244-4620
Mailing address
7820 ENCHANTED HILLS BLVD NE # A183, RIO RANCHO, NM 87144-8638
(708) 244-4620
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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