Phillips ABA Therapy, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-16-21866 Issued in VA

Legal business name

PHILLIPS ABA THERAPY, LLC

Practice address

112 Southridge Dr
Blountville, TN 37617-4876

Phone

(276) 494-2178

NPI assigned

Nov 14, 2017

Last updated

Nov 14, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Ann Phillips, BCBA, LBANPI 1528571460

Title

Owner/Bcba

Phone

(276) 494-2178

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rebecca Ann Phillips

  • Behavior Analyst
  • Blountville, TN
  • NPI 1528571460
  NPD Authorized official

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1649783580",
    "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": {
        "organization_name": "PHILLIPS ABA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/BCBA",
        "authorized_official_telephone_number": "276-494-2178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BCBA, LBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "VA",
            "license": "1-16-21866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Directions Global Ministries' Inc (Hnad In Hand in home counseling services)
• Paige E Overton, RPH
• Patricia Owens
• Makayla Payne
• William Dustin Peters
• Rebecca Ann Phillips
• Tara Pigeon, OD
• Courtney Marie Price, RN
• Regen, Smith and Smith, LLC (Home Instead Senior Care)
• Mary Ellen Hall Ress, R.N.

• 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.