Individual provider · Type 1 NPI

Angelique Carrillo

Behavior Analyst · San Diego, CA

NPI number 1740786748 Active

Practice location

15373 Innovation Dr Ste 170
San Diego, CA 92128-3427

Call (858) 723-8938 Map

Mailing address

PO Box 740780
Atlanta, GA 30374-0780

Specialties and licenses

Taxonomy	Code	License
Behavior Analyst Primary	103K00000X	None listed
Speech-Language Assistant	2355S0801X	None 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 1740786748

Angelique Carrillo's National Provider Identifier is 1740786748, issued on Mar 30, 2018. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in San Diego, CA. The record was last updated on May 26, 2026.