Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek Michael Phillips

Individual provider Behavior Technician · NPI 1366068652

Derek Michael Phillips is a Behavior Technician in San Leandro, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

477 Callan Ave
San Leandro, CA 94577-4607
Phone: (818) 241-6780
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1366068652
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 22, 2020
Last updated in NPPESJune 22, 2020
Certification dateJune 22, 2020

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