NPI 1134858541

Autumn Jade Phipps

Practitioner Assistant Behavior Analyst Fredericksburg, VA

Practice location

Address: 10510 Spotsylvania Avenue, Fredericksburg, VA 22408
Phone: (540) 479-3908

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0134000446 (VA)

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Registry record

NPI: 1134858541
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Jun 2022
Record last updated: 9 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.