Shasta M Phillips
NPI #1023744117 in San Ramon, California
Provider Information
- NPI Number
- 1023744117
- Entity Type
- Individual
- Name
- Shasta M Phillips
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jul 29, 2022
- Last Updated
- Jul 29, 2022
Practice Location
- Address
- 11040 BOLLINGER CANYON RD # 155
- City
- San Ramon
- State
- California
- ZIP Code
- 94582-4969
- Phone
- (925) 915-0610
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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