Allysia Phillips

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB545669 Issued in CA

Practice address

375 S 49TH St
San Diego, CA 92113-2073

Phone

(858) 568-0004

NPI assigned

Dec 4, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1225633308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 BOWSPRIT RD",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S 49TH ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921132073",
            "telephone_number": "858-568-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ALLYSIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "BACB545669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Aphillips@aimbehavior.com",
            "affiliation": "N",
            "address_1": "375 S 49th St Apt 1",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921132073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sandiego",
            "affiliation": "N",
            "endpointDescription": "community heatlh",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "375 S 49th St Apt 1",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921132073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Phillips Dental Corporation
• Brittany Kathryn Renee Phillips Hunt, LMFT155519
• Phillips Medstone a Psychological Corporation
• Abigail Phillips
• Adelle Grace Phillips
• Alma Esteves Phillips, LCSW
• Arthur Phillips, M.D.
• Autumn Rose Phillips, PSY.D.
• Casey Phillips, DIMM
• Charese Amille Phillips

• Behavior Technician in San Diego, CA
• Providers in San Diego, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.