MR. ETHAN EMERY PHILLIPS
NPI 1851003370
Behavior Technician in San Diego, CA

Active since December 15, 2022
2445 TRUXTUN RD, SAN DIEGO, CA 92106(619) 633-2119 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Ethan Emery Phillips NPPES

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

MR. ETHAN EMERY PHILLIPS (NPI 1851003370) is an individual behavior technician in San Diego, California, licensed in California (RBT-22-249254) and active in the NPI registry since December 2022. He maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1851003370
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameMR. ETHAN EMERY PHILLIPS
Location Address2445 TRUXTUN RDSan Diego, CA 92106-6153
Mailing Address7521 Radenz AveSan Diego, CA 92111-5820 · (559) 772-7372
Sole ProprietorNo
Enumeration DateDecember 15, 2022
NPPES CertifiedDecember 15, 2022
NPI 1851003370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in CA · RBT-22-249254
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.
2445 TRUXTUN RD, San Diego, CA 92106

Secondary Practice Location 1

Location 17521 Radenz AveSan Diego, CA 92111-5820 · Phone (559) 772-7372

Other Providers at the Same Location NPPES 19

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

Behavior Analyst
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Behavior Technician
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Behavior Technician
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Behavior Analyst
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Behavior Technician
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Behavior Technician
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Behavior Analyst
2445 TRUXTUN RD
SAN DIEGO, CA 92106
Dentist (Pediatric Dentistry)
2445 TRUXTUN RD, SUITE 106
SAN DIEGO, CA 92106

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 Ethan Phillips's NPI number?

The NPI number for Ethan Phillips is 1851003370. It was assigned to this individual provider in the NPPES registry on December 15, 2022.

Where is Ethan Phillips located?

Ethan Phillips practices at 2445 Truxtun Rd, San Diego, CA 92106. The listed phone number is (619) 633-2119.

What is Ethan 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 Ethan Phillips was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.