Individual provider · Type 1 NPI

Ethan Emery Phillips

Behavior Technician · San Diego, CA

NPI number 1851003370 Active

Practice location

2445 Truxtun Rd
San Diego, CA 92106-6153

Call (619) 633-2119 Map

Mailing address

7521 Radenz Ave
San Diego, CA 92111-5820

Other practice locations

  • 7521 Radenz Ave, San Diego, CA 92111-5820 · (559) 772-7372

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-22-249254 (CA)

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 1851003370

Ethan Emery Phillips's National Provider Identifier is 1851003370, issued on Dec 15, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 15, 2022.