Angela Carrillo, RBT
Behavior Technician in Herndon, VA. Individual provider (NPI-1).
NPI number1255990669
StatusActive
Last updated in NPPESJun 10, 2019
Details
- NPI
- 1255990669
- Entity type
- Individual (NPI-1)
- Name
- Angela Carrillo
- Credential
- RBT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 10, 2019
- Last updated
- Jun 10, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
297 Herndon Pkwy Ste 301Herndon, VA 20170-4469
Phone 571-241-8557
Mailing address
297 Herndon Pkwy Ste 301Herndon, VA 20170-4469
Phone 571-241-8557
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