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JACOB PHILLIPS
NPI 1164092698
Behavior Analyst in Huntington Beach, CA

Active since June 28, 2021
17421 LIDO LN, HUNTINGTON BEACH, CA 92647(714) 307-2309 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Phillips NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB PHILLIPS (NPI 1164092698) is an individual behavior analyst provider in Huntington Beach, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1164092698
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameJACOB PHILLIPS
Location Address17421 LIDO LNHuntington Beach, CA 92647-6143
Mailing Address17421 Lido LnHuntington Beach, CA 92647-6143 · (714) 307-2309
Phone(714) 307-2309
Sole ProprietorNo
Enumeration DateJune 28, 2021
NPPES CertifiedJune 28, 2021
✔ NPI 1164092698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition
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.
17421 LIDO LN, Huntington Beach, CA 92647
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Phillips's NPI number?

The NPI number for Jacob Phillips is 1164092698. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Jacob Phillips located?

Jacob Phillips practices at 17421 Lido Ln, Huntington Beach, CA 92647. The listed phone number is (714) 307-2309.

What is Jacob Phillips's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

When was this NPI record last updated?

The NPPES record for Jacob Phillips was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.