Phillips Aba Therapy, Llc | |
112 Southridge Dr Blountville TN 37617-4876 | |
(276) 494-2178 | |
Not Available |
Full Name | Phillips Aba Therapy, Llc |
---|---|
Speciality | Behavior Analyst |
Location | 112 Southridge Dr, Blountville, Tennessee |
Authorized Official Name and Position | Rebecca Ann Phillips (OWNER/BCBA) |
Authorized Official Contact | 2764942178 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phillips Aba Therapy, Llc 112 Southridge Dr Blountville TN 37617-4876 Ph: (276) 494-2178 | Phillips Aba Therapy, Llc 112 Southridge Dr Blountville TN 37617-4876 Ph: (276) 494-2178 |
NPI Number | 1649783580 |
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Provider Enumeration Date | 11/14/2017 |
Last Update Date | 11/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649783580 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | 1-16-21866 (Virginia) | Primary |
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Hnad In Hand In Home Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3763 Hwy 11, Blountville, TN 37617 Phone: 423-212-0727 Fax: 423-212-0728 |