Active NPI
Cody Phillips
- Behavior Technician
- St Petersburg, FL
National Provider Identifier
1255274197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 10901 Roosevelt Blvd N Ste 100
St Petersburg, FL 33716-2305 - Phone
- (888) 754-0398
- NPI assigned
- Apr 14, 2026
- 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 | FL | Primary |
Addresses
Primary practice location
10901 Roosevelt Blvd N Ste 100
St Petersburg, FL 33716-2305
Mailing address
5255 62ND St N Apt 109
Kenneth City, FL 33709-3358
Phone (727) 248-4288
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": "1776124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1255274197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 62ND ST N APT 109",
"city": "KENNETH CITY",
"state": "FL",
"postal_code": "337093358",
"telephone_number": "727-248-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10901 ROOSEVELT BLVD N STE 100",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337162305",
"telephone_number": "888-754-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "CODY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-14",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.