PHILLIP JASON SOUTHERS

HUNTSVILLE, AL
NPI1639840754
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: AL  RBT-21-174090)
Enumeration Date2021-09-28
Last Update Date2021-09-28
Business Address
Mr. PHILLIP JASON SOUTHERS RBT
6125 UNIVERSITY DR NW STE B22
HUNTSVILLE, AL 35806-1765
Phone number: 256-692-9262
Mailing Address
Mr. PHILLIP JASON SOUTHERS RBT
415 N RICHARD JACKSON BLVD
PANAMA CITY, FL 32407-3664
Phone number: 850-866-0441
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