Jennifer Jazmin Carrillo
Individual provider Active NPI Behavior Analyst · McClellan, CA
NPI 1265150486 · NPPES record last updated Jun 1, 2026
Key facts
- NPI
- 1265150486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 5115 Dudley Blvd
McClellan, CA 95652-1024 - Phone
- (916) 566-1600
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 Analyst | 103K00000X | Yes |
Addresses
Primary practice location
5115 Dudley Blvd
McClellan, CA 95652-1024
Mailing address
3186 Airway Ave Ste a
Costa Mesa, CA 92626-4650
Phone (714) 881-0427
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- Sean R Burgess
- Rosemary Cabral
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- Margaret Edith Carrico
- Cameron Austin Cason
- Viviana Castro-Martinez
- Karina M Castro
- Judith Chavez
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All providers in McClellan, CA · Behavior Analyst in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 1, 2026. 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.