Individual provider · Type 1 NPI

Shane Cyrenus Phillips

Behavior Technician · O Fallon, IL

NPI number 1073199014 Active

Practice location

6 Eagle Ctr Ste 1
O Fallon, IL 62269-1945

Call (844) 244-1818 Map

Mailing address

1500 S Douglas Rd Ste 230
Coral Gables, FL 33134-4108

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XNone listed

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1073199014

Shane Cyrenus Phillips's National Provider Identifier is 1073199014, issued on Mar 21, 2021. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in O Fallon, IL. The record was last updated on Mar 21, 2021.