Suprisha Phillips

Behavior Analyst · Potomac, MD

Individual Active NPI

NPI number 1710582358

Practice location

12944 Travilah Rd Ste C
Potomac, MD 20854-1079
Phone
(772) 463-0444
Fax
(772) 219-1339

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NPI record

NPI
1710582358
Entity type
Individual (Type 1)
Enumeration date
December 2, 2020
Last updated
June 16, 2025
Certified
June 16, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X 1-25-81824 MD

Mailing address

13630 Colgate Way Apt 732
Silver Spring, MD 20904-7254
Phone
(781) 731-4518

About Suprisha Phillips

Suprisha Phillips is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 12944 Travilah Rd Ste C, Potomac, MD 20854-1079. The NPI number 1710582358 was assigned on December 2, 2020 and the record was last updated on June 16, 2025.

Suprisha Phillips lists a license in the registry: #1-25-81824 (MD) for Behavior Analyst. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Suprisha Phillips?

The NPI number is 1710582358.

What is the phone number of Suprisha Phillips?

The phone number listed for the practice location is (772) 463-0444.

Where is Suprisha Phillips located?

12944 Travilah Rd Ste C, Potomac, MD 20854-1079.

What is the taxonomy code for Suprisha Phillips?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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