| Shandra Phillips | |
|
205 Se 16th Ave Apt 19c Gainesville FL 32601-8635 | |
| (352) 634-8068 | |
| Not Available |
| Full Name | Shandra Phillips |
|---|---|
| Speciality | Behavior Technician |
| Location | 205 Se 16th Ave Apt 19c, Gainesville, Florida |
| Authorized Official Name and Position | Shandra Phillips (PROVIDER) |
| Authorized Official Contact | 9045054972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shandra Phillips 814 Se 18th Ter Gainesville FL 32641-9423 Ph: (352) 278-7651 | Shandra Phillips 205 Se 16th Ave Apt 19c Gainesville FL 32601-8635 Ph: (352) 634-8068 |
| NPI Number | 1053834341 |
|---|---|
| Provider Enumeration Date | 07/19/2017 |
| Last Update Date | 04/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053834341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Secondary |
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