Individual provider · Type 1 NPI

Marienne Gallegos Carillo

Behavior Analyst · Los Angeles, CA

NPI number 1710863873 Active

Practice location

1605 West Olympic Boulevard
Los Angeles, CA 90015

Mailing address

17138 Gumbiner Dr
La Puente, CA 91744

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1710863873

Marienne Gallegos Carillo's National Provider Identifier is 1710863873, issued on Aug 14, 2025. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 18, 2025.