Basil Phillips
Behavior Analyst in Hollywood, FL. Individual provider (NPI-1).
NPI number1710367263
StatusActive
Last updated in NPPESMay 30, 2015
Details
- NPI
- 1710367263
- Entity type
- Individual (NPI-1)
- Name
- Basil Phillips
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2015
- Last updated
- May 30, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
2131 Hollywood BlvdSite 407
Hollywood, FL 33020-6759
Phone 954-501-4017 · Fax 954-237-7266
Mailing address
2131 Hollywood BlvdSite 407
Hollywood, FL 33020-6759
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