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NPI Code Detail

MEDICARE: CHLOE LEI PHILLIPS

MEDICARE: CHLOE LEI PHILLIPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician51483001TX

General Provider Information

NPI Number : 1891644043
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHLOE LEI PHILLIPS
Provider Business Mailing Address
First Line : 996 ROYAL MARCO WAY
Second Line :
City : MARCO ISLAND
State : FL
Zip : 34145-1829
Country : US
Telephone Number : 818-345-2345
Fax Number :
Provider Business Practice Location Address
First Line : 611 GATEWAY BLVD STE 120
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-7066
Country : US
Telephone Number : 818-345-2345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2026
Last Update Date : 01/22/2026

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Directions to “ CHLOE LEI PHILLIPS ” Practice Location

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