Active NPI
Emily Faith Philip
- Behavior Analyst
- Rogers, AR
National Provider Identifier
1972486892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 12690417
- Practice address
- 3400 N Woods LN
Rogers, AR 72756-6712 - Phone
- (479) 636-3190
- NPI assigned
- Jul 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 12690417 | AR | Primary |
Addresses
Primary practice location
3400 N Woods LN
Rogers, AR 72756-6712
Mailing address
2717 Elliott St
Pea Ridge, AR 72751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12690417 | AR | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780617600000",
"number": "1972486892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2717 ELLIOTT ST",
"city": "PEA RIDGE",
"state": "AR",
"postal_code": "72751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 N WOODS LN",
"city": "ROGERS",
"state": "AR",
"postal_code": "727566712",
"telephone_number": "479-636-3190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILIP",
"first_name": "EMILY",
"middle_name": "FAITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-29",
"last_updated": "2026-06-05",
"certification_date": "2026-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "AR",
"license": "12690417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.