Individual
MYA RENIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 NARROWS PKWY, BIRMINGHAM, AL 35242-8631
(334) 473-0156
Mailing address
203 NARROW PARKWAY, CHELSEA, AL 35242
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283000
AL
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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