| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
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 |