| NPI | 1649783580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN PHILLIPS Owner/Bcba 276-494-2178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 1-16-21866) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2017-11-14 |