Viridiana Carrillo
Behavior Technician in Santa Fe, NM. Individual provider (NPI-1).
NPI number1669973210
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1669973210
- Entity type
- Individual (NPI-1)
- Name
- Viridiana Carrillo
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
21 Sunrise RdSanta Fe, NM 87507-4367
Phone 505-204-1548
Mailing address
21 Sunrise RdSanta Fe, NM 87507-4367
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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