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NPI Code Detail

MEDICARE: ASHANTI PHILLIPS

MEDICARE:   ASHANTI  PHILLIPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-26-518148AZ

General Provider Information

NPI Number : 1891641478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHANTI PHILLIPS
Provider Business Mailing Address
First Line : 725 W ELLIOT RD
Second Line :
City : GILBERT
State : AZ
Zip : 85233-5301
Country : US
Telephone Number : 602-609-7352
Fax Number :
Provider Business Practice Location Address
First Line : 725 W ELLIOT RD
Second Line :
City : GILBERT
State : AZ
Zip : 85233-5301
Country : US
Telephone Number : 602-609-7352
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ ASHANTI PHILLIPS ” Practice Location

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