Individual
SARA KATE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
1550 RALEIGH ST APT 326, DENVER, CO 80204-1386
(207) 272-3255
Mailing address
1550 RALEIGH ST APT 326, DENVER, CO 80204-1386
(207) 272-3255
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-65660
—
106S00000X
Behavior Technician
RBT-20-113965
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-65660
BACB, BCBA NUMBER
—
Enumeration date
05/11/2022
Last updated
05/09/2024
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