Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710582358 Individual Practitioner Female Practitioner

Suprisha Phillips

Behavior Analyst • Potomac, MD

Professional Overview & Biography Verified Profile Summary

Suprisha Phillips is a registered healthcare professional specializing in Behavior Analyst in Potomac, MD. Practice services are available at 12944 TRAVILAH RD STE C under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12944 Travilah Rd Ste C

Potomac, MD 208541079

Telephone 7724630444
Fax 7722191339
Associated Practice Facility / Clinic
🏢 Behavior Basics, Incorporated Facility NPI 1497913214

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Potomac, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.0 Yrs
Regional Practice Density
4 Specialists

Practicing in Potomac, MD (1558 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-16
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License MD 1-25-81824

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jamesha Harvey

Behavior Technician

NPI 1003320664
Linh Pham

Behavior Technician

NPI 1003406927
Michaela Gelbaugh

Behavior Technician

NPI 1003438680
Payton Bryant

Behavior Technician

NPI 1003507864
Chantenette Davis

Behavior Technician

NPI 1023523560
Yuniet Diaz

Behavior Technician

NPI 1023573821

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 16, 2025

Registered at 12944 TRAVILAH RD STE C, POTOMAC, MD 208541079 (Tel: 7724630444)

📍
Updated Business Mailing Address June 16, 2025

Registered at 13630 COLGATE WAY APT 732, SILVER SPRING, MD 209047254 (Tel: 7817314518)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Behavior Analyst (License #1-25-81824 in MD)

📍
Updated Practice Location October 03, 2022

Registered at 1887 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 349525530 (Tel: 7724630444)

📍
Updated Business Mailing Address October 03, 2022

Registered at 2702 SE IBIS AVE, PORT ST LUCIE, FL 349527252 (Tel: 7724630444)

NPI Profile Active December 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2020

Registered at 10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 349526407 (Tel: 7724630444)

📍
Updated Business Mailing Address December 02, 2020

Registered at 10850 S US HIGHWAY 1 STE 2, PORT ST LUCIE, FL 349526407 (Tel: 7724630444)

👤
Provider Name / Credentials Updated December 02, 2020

Recorded as SUPRISHA PHILLIPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2020

Behavior Technician (License #RBT-20-142630 in FL)

🟢
Initial NPI Registration & Enumeration December 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710582358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2020
Last Update: June 16, 2025
Sole Proprietor: Yes

Mailing Address

13630 Colgate Way Apt 732

Silver Spring, MD 209047254

Phone: 7817314518

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.