Philip Page

NPI 1134727985 · on the registry since 2020

Practice

Address: 435 Carlisle Dr Ste B
Herndon, VA 20170
Phone: (254) 640-6438
Fax: (571) 336-5314
Organisation at this address: New Directions Aba Llc
Vitalcare Body Treatment Solutions, Plc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: Behavior Technician
106S00000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-10-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia