Nequan Shaquille Phillips

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB1194284 Issued in FL

Practice address

12350 SW 132ND CT Ste 201
Miami, FL 33186-6458

Phone

(786) 732-0247

NPI assigned

Sep 16, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Milestones Mental Aid Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1255078721
  NPD

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1629949292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13259 SW 286TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337548",
            "telephone_number": "407-492-1841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12350 SW 132ND CT STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866458",
            "telephone_number": "786-732-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "NEQUAN",
        "middle_name": "SHAQUILLE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB1194284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Merchesa Phillips, ARNP
• Alexis Phillips
• Ayanna D Phillips, PHARM.D.
• Kayla Danielle Phillips
• Monica Raquel Phillips, OTR-L
• Pamela Phillips, OTR/L
• Samantha Phillips
• Savannah Rae Phillips
• Laroche Philocles, PT
• Phlebotomy Associates of FL

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.

Verify at the official NPI Registry.