Individual
KAILA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
111 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4007
(804) 701-4810
Mailing address
111 OLDE GREENWICH DR, FREDERICKSBURG, VA 22408-4007
(804) 701-4810
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-26-88653
BACB
—
01
—
RBT-21-158689
BACB
—
Enumeration date
05/26/2022
Last updated
03/25/2026
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