Individual
MS. CRYSTAL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
3592 HENLEY PARK CT, ATLANTA, GA 30340-4189
(954) 850-0381
Mailing address
3592 HENLEY PARK CT, ATLANTA, GA 30340-4189
(954) 850-0381
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-22337
GA
Other
Enumeration date
07/01/2016
Last updated
09/05/2022
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