Individual
EDWARD DUSTIN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1322 NUTWOOD DR, COLORADO SPRINGS, CO 80906-7759
(970) 531-6357
Mailing address
1322 NUTWOOD DR, COLORADO SPRINGS, CO 80906-7759
(970) 531-6357
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB1549115
CO
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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