Individual
MS. KIRASTEN RAYE PHIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4075 PARK AVE, MEMPHIS, TN 38111-7400
(901) 692-7930
Mailing address
4075 PARK AVENUE MEMPHIS TN 38152, MEMPHIS, TN 38152-0001
(901) 584-8281
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410921
TN
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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