Kerry Phillips, PEER SUPPORT

NPI #1225620529 in Fairbanks, Alaska

Provider Information

NPI Number: 1225620529
Entity Type: Individual
Name: Kerry Phillips, PEER SUPPORT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: PEER SUPPORT
Enumeration Date: Feb 8, 2021
Last Updated: Feb 8, 2021

Practice Location

Address: 724 27TH AVE STE 2
City: Fairbanks
State: Alaska
ZIP Code: 99701-7042
Phone: (907) 374-2905

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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