ETHAN EMERY PHILLIPS

SAN DIEGO, CA
NPI1851003370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: CA  RBT-22-249254)
Enumeration Date2022-12-15
Last Update Date2022-12-15
Business Address
Mr. ETHAN EMERY PHILLIPS
2445 TRUXTUN RD
SAN DIEGO, CA 92106-6153
Phone number: 619-633-2119
Mailing Address
Mr. ETHAN EMERY PHILLIPS
7521 RADENZ AVE
SAN DIEGO, CA 92111-5820
Phone number: 559-772-7372
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