Shane Cyrenus Phillips
Shane Cyrenus Phillips is a Behavior Technician in O Fallon, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
6 Eagle Ctr Ste 1O Fallon, IL 62269-1945
Phone: (844) 244-1818
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1073199014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 21, 2021 |
| Last updated in NPPES | March 21, 2021 |
| Certification date | March 21, 2021 |
| Mailing address | 1500 S Douglas Rd Ste 230, Coral Gables, FL 33134-4108 |
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