Individual
MR. CRAIG PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2631 MERRICK RD STE 202, BELLMORE, NY 11710-5784
(516) 698-6995
Mailing address
35 FAIRVIEW AVE APT C, BERGENFIELD, NJ 07621-2842
(201) 560-2218
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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