Individual provider Active NPI

Janet Castaneda Carrillo, BCBA

  • Behavior Analyst
  • Charlotte, NC
National Provider Identifier
1235694498
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28519 Issued in CO
Practice address
901 W Trade St
Charlotte, NC 28202-1143
Phone
(336) 405-8635
NPI assigned
Feb 1, 2019
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28519 CO Primary

Addresses

Primary practice location

901 W Trade St
Charlotte, NC 28202-1143

Mailing address

901 W Trade St
Charlotte, NC 28202-1143
Phone (336) 405-8635

Other practice location 1

210 Charlois Blvd
Winston Salem, NC 27103-1508
Phone (336) 405-8635

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery ABA NC LLC Behavior Analyst CurrentSince Jul 28, 2024 Accepting new patients

Locations

901 W Trade St
Charlotte, NC 28202
Phone (704) 561-1143

130 Turnberry Way
Pinehurst, NC 28374
Phone (704) 404-3580

600 Bayview Ave
Ste 400
Inwood, NY 11096

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1235694498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W TRADE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021143",
            "telephone_number": "336-405-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W TRADE ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282021143",
            "telephone_number": "336-405-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Charlois Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031508",
            "country_code": "US",
            "telephone_number": "336-405-8635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JANET",
        "middle_name": "CASTANEDA",
        "credential": "BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CO",
            "license": "1-17-28519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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.