Most Relevant Information
Provider Data
| NPI Number: | 1003507443 |
| Provider Name: | KENNETH PHILLIPS |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/17/2023 |
| Last Updated: | 05/17/2023 |
Provider Practice Location
1063 MCGAW AVE STE 100
IRVINE
CA
926145554
Practice Location Phone/Fax
| Phone: | 6572075542 |
| Fax: |
Provider Mailing Location
1063 MCGAW AVE STE 100
IRVINE
CA
926145554
Provider Mailing Phone/Fax
| Phone: | 6572075542 |
| Fax: |