Autumn Jade Phipps

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

0134000446 Issued in VA

Practice address

10510 Spotsylvania Avenue
Fredericksburg, VA 22408

Phone

(540) 479-3908

NPI assigned

Jun 9, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paragon Autism Services, LLC

  • Behavior Analyst
  • Fredericksburg, VA
  • NPI 1720427875
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1134858541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10510 SPOTSYLVANIA AVENUE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-479-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10510 SPOTSYLVANIA AVENUE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "22408",
            "telephone_number": "540-479-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 Princess Anne St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224015801",
            "country_code": "US",
            "telephone_number": "540-479-3889",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 Chatham Square Office Park",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224052561",
            "country_code": "US",
            "telephone_number": "540-940-2136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 Genesee Pl Ste 205",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928302",
            "country_code": "US",
            "telephone_number": "571-402-7499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHIPPS",
        "first_name": "AUTUMN",
        "middle_name": "JADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "VA",
            "license": "0134000446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace H Phillips, OTRCHT
• Kaila Phillips, BCBA
• Lawrence Phillips
• Sarah Phillips, BS, COTA/L
• Taylor Nikole Phillips, PA-C
• Phoenix Healthcare of Virginia LLC
• Phoenix Medical Supply Company
• Physical Medicine Associates LTD
• Physical Therapy of Central Virginia, LLC
• Physicians Edge

• Assistant Behavior Analyst in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Assistant Behavior Analyst in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.