Melissa Carrillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1918 Business Center Dr Ste 104
San Bernardino, CA 92408-3439

Phone

(909) 918-7223

Fax

(909) 610-1345

NPI assigned

Jun 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1417527482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 S KANNER HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977462",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1918 BUSINESS CENTER DR STE 104",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083439",
            "telephone_number": "909-918-7223",
            "fax_number": "909-610-1345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3045 S Archibald Ave Ste H-1043",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917619001",
            "country_code": "US",
            "telephone_number": "855-832-6727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyan Carrico
• Alejandro Elias Carrillo
• Celeny Carrillo
• Jessica Carrillo
• Katherine Bronner Carrillo
• Veronica Carrillo
• Tere-Monique Oresa Carrington, DNP, APRN, FNP-C
• Eduardo Guadalupe Carrizosa
• Robert Duncan Carruthers
• Mabel E Carson, FNP-C

• Behavior Technician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; 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.