Active NPI
Hugo A. Carrillo
- Behavior Analyst
- Cerritos, CA
National Provider Identifier
1467912634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-23-66633
- Practice address
- 13079 Artesia Blvd Ste B210
Cerritos, CA 90703-1486 - Phone
- (844) 422-2435
- Fax
- (562) 219-7458
- NPI assigned
- Mar 22, 2019
- Last updated
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-23-66633 | CA | Primary |
Addresses
Primary practice location
13079 Artesia Blvd Ste B210
Cerritos, CA 90703-1486
Mailing address
PO Box 4325
Cerritos, CA 90703-4325
Phone (844) 422-2435
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Applied Behavior Analysis Consultation Services, Inc. | Current | Accepting new patients |
Locations
13079 Artesia Blvd
Ste B210
Cerritos, CA 90703
Phone (844) 422-2435
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.
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- Cerritos, CA
- NPI 1851791420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1467912634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4325",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907034325",
"telephone_number": "844-422-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13079 ARTESIA BLVD STE B210",
"city": "CERRITOS",
"state": "CA",
"postal_code": "907031486",
"telephone_number": "844-422-2435",
"fax_number": "562-219-7458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "HUGO",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-03-22",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-23-66633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cerritos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.