Jacklyn Carrillo, BCBA

Behavior Analyst · Dearborn, MI

Individual Active NPI

NPI number 1700310729

Practice location

2021 Monroe St
Dearborn, MI 48124-2926
Phone
(517) 245-4777
Fax
(517) 698-8223

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NPI record

NPI
1700310729
Entity type
Individual (Type 1)
Enumeration date
April 17, 2017
Last updated
August 24, 2022
Certified
August 24, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Analyst Primary 103K00000X — —
Other Technician 247200000X — —

Mailing address

PO Box 12279
Lansing, MI 48901-2279
Phone
(517) 245-4777
Fax
(517) 698-8223

About Jacklyn Carrillo

Jacklyn Carrillo, BCBA is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Analyst (code 103K00000X). The practice location is 2021 Monroe St, Dearborn, MI 48124-2926. The NPI number 1700310729 was assigned on April 17, 2017 and the record was last updated on August 24, 2022.

Frequently asked questions

What is the NPI number of Jacklyn Carrillo, BCBA?

The NPI number is 1700310729.

What is the phone number of Jacklyn Carrillo?

The phone number listed for the practice location is (517) 245-4777.

Where is Jacklyn Carrillo located?

2021 Monroe St, Dearborn, MI 48124-2926.

What is the taxonomy code for Jacklyn Carrillo?

The primary taxonomy code is 103K00000X – Behavior Analyst; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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