Individual
JAMMIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ED.S, RBT
Contact information
Practice address
520 HILLY CT, MCDONOUGH, GA 30253-4665
(404) 492-3712
Mailing address
520 HILLY CT, MCDONOUGH, GA 30253-4665
(404) 492-3712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-165621
GA
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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