Individual
JAYLYN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 S 24TH ST, MOUNT VERNON, IL 62864-3016
(618) 731-8300
(618) 731-8300
Mailing address
700 S 24TH ST, MOUNT VERNON, IL 62864-3016
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
02/09/2026
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