MRS. JILLIAN PHILLIPS (NPI# 1376082099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376082099 |
| Entity Type | Individual |
| Full Name | MRS. JILLIAN PHILLIPS |
| Other Name | MS. JILLIAN GANNON |
| Practice Address |
29228 Us Hwy 19 N Clearwater FL 33761-2101 |
| Mailing Address |
300 International Pkwy Ste 200 Lake Mary FL 32746-5028 |
| Practice Telephone | 7273514191 |
| Mailing Telephone | 8666100580 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14202 20th Ave, Flushing, NY 113513000 | 7185590555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306308598 | Jillian Kagen Phillips | Nurse Practitioner | 9594 Potranco Rd Ste 102, San Antonio, TX 78251-9619 | 2019-04-05 |
| 1174042626 | Jillian Phillips | Counselor | 40 Pleasant St, Concord, NH 03301-4006 | 2017-09-15 |
| 1275053548 | Jillian Marie Phillips | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5051 | 2017-06-27 |
| 1538606868 | Jillian Phillips | Case Manager/Care Coordinator | 522 Mill Rd, Clarksville, AR 72830-8511 | 2017-01-25 |
| 1033447545 | Jillian Miranda Phillips | Counselor | 32961 Middlebelt Rd, Farmington Hills, MI 48334-1729 | 2009-11-20 |
| 1952436255 | Jillian E Phillips | Social Worker | 29 Pine St, Southbridge, MA 01550-1823 | 2007-02-23 |
| Street Address |
29228 US HWY 19 N |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33761-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1659838449 | Branden Kleehammer | Occupational Therapy Assistant | 6941 300th Ave N, Clearwater, FL 33761 | 2019-02-27 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1760979629 | Melissa Irene Valentine | Social Worker | 6997 300th Ave North, Clearwater, FL 33761 | 2018-04-17 |
| 1871011049 | Maria's Adult Day Care Center | Clinic/Center | 26224 Us Highway 19 N., Clearwater, FL 33761 | 2017-09-07 |
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1366985582 | Brandon Chad Brown | Physician Assistant | 29277 Hwy 19 North, Clearwater, FL 33761 | 2016-11-19 |
| 1730575606 | Layne S Winker | Physician Assistant | 26812 Us 19 N # 19, Clearwater, FL 33761 | 2015-04-08 |
| 1407254907 | M Christina Memoli Od Pa | Optometrist | 27901 Us 19 N, Clearwater, FL 33761 | 2014-12-15 |
| 1952729774 | Gina Pietras Spohn | Dermatology | 3165 N Mcmullen Booth Rd Bldg B, Clearwater, FL 33761 | 2014-03-29 |
| Find all providers in zip 33761 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| 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. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750403 | Phong Hai Huynh | Behavior Technician | 4173 105th Ave N, Clearwater, FL 33762-5461 | 2020-11-05 |
| 1770184210 | Sandra Shanice Campisi | Behavior Technician | 29228 Us-19 N, Clearwater, FL 33761 | 2020-11-02 |
| 1053928135 | Barbara Y Santelices | Behavior Technician | 1799 N Highland Ave Apt M168, Clearwater, FL 33755-2132 | 2020-09-23 |
| 1780292102 | Anthony Michael Esparza | Behavior Technician | 2481 Ne Coachman Rd Apt 901, Clearwater, FL 33765-1712 | 2020-07-22 |
| 1770140873 | Sierra Lynn Krecker | Behavior Technician | 29228 Us 19 N, Clearwater, FL 33761-2101 | 2019-05-23 |
| 1639636848 | Megan Schron | Behavior Technician | 2081 Powderhorn Dr, Clearwater, FL 33755-1358 | 2019-02-24 |
| 1528539467 | Sharit Melissa Kelley | Behavior Technician | 2666 N Mcmullen Booth Rd Apt 1032, Clearwater, FL 33761-4048 | 2018-12-17 |
| 1063901403 | Sheleaha C Egly I | Behavior Technician | 29288 Us Highway 19 N, Clearwater, FL 33761 | 2018-05-01 |
| 1194213397 | Lakshmi Cruz Galan | Behavior Technician | 1409 Alpine Rd Apt 12, Clearwater, FL 33755-1209 | 2018-04-24 |
| 1750887485 | Kimberly Winstead | Behavior Technician | 3455 Countryside Blvd, 90, Clearwater, FL 33761-3376 | 2018-04-02 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33761 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.