Active NPI
Kassidy Phillips
- Behavior Technician
- Anderson, SC
National Provider Identifier
1083563050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-25-500769
- Practice address
- 4323 Old Mill Rd
Anderson, SC 29621-1117 - Phone
- (864) 671-1466
- NPI assigned
- Jan 23, 2026
- Last updated
- Jan 23, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-25-500769 | Primary |
Addresses
Primary practice location
4323 Old Mill Rd
Anderson, SC 29621-1117
Mailing address
PO Box 931142
Atlanta, GA 31193-1142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769126400000",
"number": "1083563050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931142",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311931142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 OLD MILL RD",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211117",
"telephone_number": "864-671-1466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "KASSIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-23",
"last_updated": "2026-01-23",
"certification_date": "2026-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-25-500769",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
- Teresa A Pettigrew, LPN
- Pharmacy Associates of Anderson, Inc (The Medicine Mart)
- Varghese P Philip
- Deborah J Phillips, LMT
- Ellen Phillips
- Linda Phillips
- Scott Ashley Phillips, M.D.
- Stephanie D Phillips, DO
- Physician Surgery Center at Anmed Health LLC
- Physician Therapeutic Infusions of the Upsate, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.