Derek Michael Phillips
Behavior Technician in San Leandro, CA. Individual provider (NPI-1).
NPI number1366068652
StatusActive
Last updated in NPPESJun 22, 2020
Details
- NPI
- 1366068652
- Entity type
- Individual (NPI-1)
- Name
- Derek Michael Phillips
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2020
- Certification date
- Jun 22, 2020
- Last updated
- Jun 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
477 Callan AveSan Leandro, CA 94577-4607
Phone 818-241-6780
Mailing address
55 E Colorado Blvd Ste 560Pasadena, CA 91105-1901
Phone 818-241-6780
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All 365 Behavior Technician providers in San Leandro · All 5,527 providers in San Leandro
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