Quaneshia Phillips, BT

Individual provider Active NPI Behavior Technician · Beulaville, NC

NPI 1376431460 · NPPES record last updated Jun 26, 2025

Key facts

NPI
1376431460
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
140 Futreal LN
Beulaville, NC 28518-8726
Phone
(910) 264-1648
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Bachelor of Theology

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NC Yes

Addresses

Primary practice location

140 Futreal LN
Beulaville, NC 28518-8726

Mailing address

140 Futreal LN
Beulaville, NC 28518-8726
Phone (910) 264-1648

Other providers in Beulaville, NC

All providers in Beulaville, NC · Behavior Technician in North Carolina

Sources for this page

Verify at the official NPI Registry.