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1881185536
KELLY PHILLIPS
FORT WAYNE, IN
NPI
1881185536
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Former Name
KELLY SCHOLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IN 1-18-31563)
Enumeration Date
2018-05-29
Last Update Date
2019-02-15
Business Address
KELLY PHILLIPS BCBA
3030 LAKE AVE STE 20
FORT WAYNE, IN 46805-5428
Phone number: 260-420-9332
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Mailing Address
KELLY PHILLIPS BCBA
4103 CASTELL DR
FORT WAYNE, IN 46835-2100
Phone number: 765-730-3691
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