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Search › Indiana › 103K00000X

Kelly Phillips, BCBA

NPI 1881185536 · on the registry since 2018

Practice

Address
3030 Lake Ave Ste 20
Fort Wayne, IN 46805
Phone
(260) 420-9332
Fax
(866) 446-0198
Organisation at this address
Drs. Nelson & Menon
Health Essential Llc
Thomas P Van Den Driessche
Legacy Treatment Center Llc
Renewal Therapy Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-15

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 Indiana