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

Edward Dustin Phillips

Individual provider Behavior Technician · NPI 1780511014

Edward Dustin Phillips is a Behavior Technician in Colorado Springs, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2026

Practice location Address checks out

2989 Broadmoor Valley Rd
Colorado Springs, CO 80906-4403
Phone: (719) 203-4723
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence BACB1549115 (CO)

Record details

NPI number1780511014
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2026
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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