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SUPRISHA PHILLIPS
NPI 1710582358
Behavior Analyst in Potomac, MD

Active since December 02, 2020
12944 TRAVILAH RD STE C, POTOMAC, MD 20854(772) 463-0444(772) 219-1339 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 16, 2025, Oct 3, 2022, Dec 2, 2020 (3 updates tracked since 2020).

About Suprisha Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPRISHA PHILLIPS (NPI 1710582358) is an individual behavior analyst provider in Potomac, Maryland, licensed in Maryland (1-25-81824) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1710582358
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameSUPRISHA PHILLIPS
Location Address12944 TRAVILAH RD STE CPotomac, MD 20854-1079
Mailing Address13630 Colgate Way Apt 732Silver Spring, MD 20904-7254 · (781) 731-4518
Phone(772) 463-0444
Fax(772) 219-1339
Sole ProprietorYes
Enumeration DateDecember 2, 2020
Last NPPES UpdateJune 16, 20253 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1710582358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in MD · 1-25-81824
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
12944 TRAVILAH RD STE C, Potomac, MD 20854
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Suprisha Phillips's NPI number?

The NPI number for Suprisha Phillips is 1710582358. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Suprisha Phillips located?

Suprisha Phillips practices at 12944 Travilah Rd Ste C, Potomac, MD 20854. The listed phone number is (772) 463-0444.

What is Suprisha Phillips's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Suprisha Phillips was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.