Jelisa Phillippi
Jelisa Phillippi is a Specialist in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
112 University Dr N Ste 300Fargo, ND 58102-4661
Phone: (701) 388-9345
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Specialties & licences
| Behavior Analyst (primary) | Taxonomy 103K00000X · Licence 1-17-28640 |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1316475908 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 26, 2017 |
| Last updated in NPPES | April 21, 2020 |
| Certification date | April 21, 2020 |
| Mailing address | 112 University Dr N Ste 300, Fargo, ND 58102-4661 |
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