Active NPI
Sir Phillips
- Behavior Technician
- Pikesville, MD
National Provider Identifier
1154209930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1517 Reisterstown Rd
Pikesville, MD 21208-4325 - Phone
- (410) 541-1316
- NPI assigned
- Aug 21, 2025
- Last updated
- Aug 21, 2025
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
1517 Reisterstown Rd
Pikesville, MD 21208-4325
Mailing address
1517 Reisterstown Rd
Pikesville, MD 21208-4325
Phone (410) 541-1316
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Star ABA LLC | Behavior Technician | Current | Accepting new patients |
Locations
1517 Reisterstown Rd
Pikesville, MD 21208
Phone (410) 541-1316
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1154209930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 REISTERSTOWN RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084325",
"telephone_number": "410-541-1316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 REISTERSTOWN RD",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084325",
"telephone_number": "410-541-1316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "SIR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikesville, MD
- Laura Jane Peterson, COTA
- Patricia Petroff
- Rachel Huynh Pham
- Lawrence Davonte Phelps
- Raizel Pheterson, OTR/L
- Lisa Marie Piastrelli, PAC
- Pikesville Assisted Living, LLC (Sunrise of Pikesville)
- Pikesville Health Services LLC
- Pikesville Medical Care
- Pikesville Operator, LLC (Autumn Lake Healthcare at Pikesville)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.