Sandra McKenna Phillips, BCBA
Behavior Analyst in Columbus, GA. Individual provider (NPI-1).
NPI number1033859855
StatusActive
Last updated in NPPESJan 16, 2023
Details
- NPI
- 1033859855
- Entity type
- Individual (NPI-1)
- Name
- Sandra McKenna Phillips
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2022
- Certification date
- Jan 16, 2023
- Last updated
- Jan 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-21-55062 | GA | Yes |
| 103K00000X | Behavior Analyst | 2022-062 | AL |
Practice location
6361 Talokas Ln Ste C140-158Columbus, GA 31909-5642
Phone 855-832-6727 · Fax 772-675-9100
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
Phone 855-832-6727 · Fax 772-675-9100
Other practice locations
2028 Osprey Cove Dr
Columbus, GA 31904-2036
Columbus, GA 31904-2036
Phone 706-794-0994
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