NPI 1104666288
Jack D. Phillips
Behavior Technician · Tampa, FL
Active in the CMS NPI RegistryNot on the OIG exclusion listchecked Oct 15, 2026, 2:59 am EDT
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Jack D. Phillips is a health care provider (Behavior Technician) in Tampa, Florida with National Provider Identifier (NPI) 1104666288. The NPI was issued on May 28, 2024 and the registry record was last updated on May 28, 2024. The registry lists a license in Florida.
Registry record
- NPI
- 1104666288
- Type
- Individual (NPI-1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice location
- 1202 Tech Blvd Ste 104
Tampa, FL 33619-7863 - Phone
- (813) 438-6796
- NPI issued
- May 28, 2024
- Registry record updated
- May 28, 2024
Specialties and licenses
| Specialty | Taxonomy code | License state | License |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X | Florida |
Confirm license status and discipline with the state board (links in NPI Lookup).
Behavior Technician providers in Florida
- Rebecca WhiteNorth Port, FL
- Ismary GonzalezMiami Lakes, FL
- Delesia N. Mack, RBTGainesville, FL
- Maria Karla LopezMiami, FL
- Wesley Evan SmithLake Mary, FL
- Andrea PadillaCoral Gables, FL
- Amber RoseDeerfield Beach, FL
- Sandra L. LopezPalm Beach Gardens, FL
- Gabriel Alvarez, RBTWeston, FL
- Haley MurphyPalm Bay, FL
- Jaimie L. Nelson, RBTOrange Park, FL
- Stefano SmithStuart, FL
Source: CMS National Plan and Provider Enumeration System (NPPES) and the HHS-OIG List of Excluded Individuals/Entities (list of Oct 9, 2026). Is this your record? Update it in NPPES or email info@2minutemedicine.com to have it hidden here.