Jazmin Carrillo
Individual provider Active NPI Behavior Technician · Silver City, NM
NPI 1104355320 · NPPES record last updated Jun 10, 2017
Key facts
- NPI
- 1104355320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 2329 N Kimberly Dr
Silver City, NM 88061-7168 - Phone
- (575) 519-0089
- NPI assigned
- Jun 10, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
2329 N Kimberly Dr
Silver City, NM 88061-7168
Mailing address
2329 N Kimberly Dr
Silver City, NM 88061-7168
Phone (575) 519-0089
Other providers in Silver City, NM
- Maria E Cardoza
- Latanya T Carey-Ledford
- Courtney Marie Carillo
- Jesus Roberto Carreon
- Carrie L Hinds LLC
- Carter Chiropractic Center, PA
- Robyn Caruso
- Leslie Carwile
- Casa Mia, Inc.
- Louise A Cash
All providers in Silver City, NM · Behavior Technician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.