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Estefany Carrillo

Behavior Technician in San Diego, CA. Individual provider (NPI-1).

NPI number1447926050
StatusActive
Last updated in NPPESAug 23, 2021

Details

NPI
1447926050
Entity type
Individual (NPI-1)
Name
Estefany Carrillo
Sex
Female
Sole proprietor
No
Enumeration date
Aug 23, 2021
Certification date
Aug 23, 2021
Last updated
Aug 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician–CAYes

Practice location

11650 Iberia Pl Ste 130
San Diego, CA 92128-2431

Phone 858-264-5858 · Fax 858-649-6012

Mailing address

Po Box 3044
National City, CA 91951-3044

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