Stacey Phillips

NPI #1326621780 in Tyrone, Georgia

Provider Information

NPI Number: 1326621780
Entity Type: Individual
Name: Stacey Phillips
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: May 4, 2021
Last Updated: May 4, 2021

Practice Location

Address: 190 HANDLEY RD STE C
City: Tyrone
State: Georgia
ZIP Code: 30290-2178
Phone: (678) 850-7906

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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