Anna Isabella Carrillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

3478 Kilmer Dr
Troy, MI 48083-5026

Phone

(248) 930-7968

NPI assigned

Sep 13, 2022

Last updated

Sep 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1023730454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 KILMER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835026",
            "telephone_number": "248-930-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 KILMER DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835026",
            "telephone_number": "248-930-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "ANNA",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "C642067344409",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "aicarrillo531@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "3478 Kilmer Dr",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480835026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Ann Carnagie, OTR
• Benjamin Robert John Carolan, PA-C
• Jodi Lynn Caroland, MA LPC NCC
• Rachel Carrico, DPT
• Richard Charles Carrier, MSW
• Heather Carroll, PHD, LLP
• Rosemary Carroll, LPC
• Andrea Marie Carson, LLPC
• Folayan Carter-Pitchford, MA,LPC,CAADC
• Caymon Carter

• Behavior Technician in Troy, MI
• Providers in Troy, MI by specialty
• Behavior Technician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.