Rebecca Ann Phillips

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

0133000760 Issued in VA

Practice address

112 Southridge Dr
Blountville, TN 37617-4876

Phone

(276) 494-2178

NPI assigned

Nov 14, 2017

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.

• Phillips ABA Therapy, LLC

  • Behavior Analyst
  • Blountville, TN
  • NPI 1649783580
  NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1528571460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 SOUTHRIDGE DR",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174876",
            "telephone_number": "276-494-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTHRIDGE DR",
            "city": "BLOUNTVILLE",
            "state": "TN",
            "postal_code": "376174876",
            "telephone_number": "276-494-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "0133000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige E Overton, RPH
• Patricia Owens
• Makayla Payne
• William Dustin Peters
• Phillips ABA Therapy, LLC
• Tara Pigeon, OD
• Courtney Marie Price, RN
• Regen, Smith and Smith, LLC (Home Instead Senior Care)
• Mary Ellen Hall Ress, R.N.
• Gabriella Alexis Rivera

• Behavior Analyst in Blountville, TN
• Providers in Blountville, TN by specialty
• Behavior Analyst in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.