Individual
CHONTASIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 SATELLITE BLVD, DULUTH, GA 30097-5256
(404) 985-0749
Mailing address
1845 SATELLITE BLVD, DULUTH, GA 30097-5256
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/11/2026
Last updated
05/11/2026
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