Kelly Phillips, BCBA

NPI #1881185536 in Fort Wayne, Indiana

Provider Information

NPI Number: 1881185536
Entity Type: Individual
Name: Kelly Phillips, BCBA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: May 29, 2018
Last Updated: Feb 15, 2019

Practice Location

Address: 3030 LAKE AVE STE 20
City: Fort Wayne
State: Indiana
ZIP Code: 46805-5428
Phone: (260) 420-9332

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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