Jacob Phillips

Behavior Analyst · Huntington Beach, CA

Individual Active NPI

NPI number 1164092698

Practice location

17421 Lido Ln
Huntington Beach, CA 92647-6143
Phone
(714) 307-2309

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NPI record

NPI
1164092698
Entity type
Individual (Type 1)
Enumeration date
June 28, 2021
Last updated
June 28, 2021
Certified
June 28, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —

About Jacob Phillips

Jacob Phillips is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 17421 Lido Ln, Huntington Beach, CA 92647-6143. The NPI number 1164092698 was assigned on June 28, 2021 and the record was last updated on June 28, 2021.

Frequently asked questions

What is the NPI number of Jacob Phillips?

The NPI number is 1164092698.

What is the phone number of Jacob Phillips?

The phone number listed for the practice location is (714) 307-2309.

Where is Jacob Phillips located?

17421 Lido Ln, Huntington Beach, CA 92647-6143.

What is the taxonomy code for Jacob Phillips?

The primary taxonomy code is 103K00000X – Behavior Analyst.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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