Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MICKENZIE L PHILLIPS
NPI 1366350274
Behavior Technician in Prudenville, MI

Active since August 31, 2026
1070 W HOUGHTON LAKE DR, PRUDENVILLE, MI 48651(810) 263-0637 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mickenzie L Phillips NPPES

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

MICKENZIE L PHILLIPS (NPI 1366350274) is an individual behavior technician in Prudenville, Michigan and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1366350274
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameMICKENZIE L PHILLIPS
Location Address1070 W HOUGHTON LAKE DRPrudenville, MI 48651-9613
Mailing Address6424 Marcy StBrighton, MI 48116-2108 · (810) 263-0637
Sole ProprietorNo
Enumeration DateAugust 31, 2026
NPPES CertifiedAugust 31, 2026
NPI 1366350274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
1070 W HOUGHTON LAKE DR, Prudenville, MI 48651

Other Names 1

Other Name (5)Mickey Phillips

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651
Behavior Technician
1070 W HOUGHTON LAKE DR
PRUDENVILLE, MI 48651

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 Mickenzie Phillips's NPI number?

The NPI number for Mickenzie Phillips is 1366350274. It was assigned to this individual provider in the NPPES registry on August 31, 2026. The provider is also known as Mickey Phillips.

Where is Mickenzie Phillips located?

Mickenzie Phillips practices at 1070 W Houghton Lake Dr, Prudenville, MI 48651. The listed phone number is (810) 263-0637.

What is Mickenzie Phillips's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Mickenzie Phillips was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.