Shandra Phillips

NPI #1053834341 in Gainesville, Florida

Provider Information

NPI Number: 1053834341
Entity Type: Organization
Organization Name: Shandra Phillips
Primary Specialty: Behavior Technician
Enumeration Date: Jul 19, 2017
Last Updated: Apr 18, 2019

Practice Location

Address: 205 SE 16TH AVE APT 19C
City: Gainesville
State: Florida
ZIP Code: 32601-8635
Phone: (352) 634-8068

Authorized Official

Name: MS. SHANDRA PHILLIPS
Title: PROVIDER
Phone: (904) 505-4972

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X
Behavior Technician	106S00000X	Primary

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