Eduardo Alberto Christopher Flores Carrillo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

Behavior Frontiers, LLC
3255 Old Conejo Rd, Suite 202
Newbury Park, CA 91320

Phone

(805) 254-6249

Fax

(855) 568-2494

NPI assigned

Sep 7, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1558082537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BEHAVIOR FRONTIERS, LLC",
            "address_2": "3255 OLD CONEJO RD, SUITE 202",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-254-6249",
            "fax_number": "855-568-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BEHAVIOR FRONTIERS, LLC",
            "address_2": "3255 OLD CONEJO RD, SUITE 202",
            "city": "NEWBURY PARK",
            "state": "CA",
            "postal_code": "91320",
            "telephone_number": "805-254-6249",
            "fax_number": "855-568-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES CARRILLO",
        "first_name": "EDUARDO ALBERTO",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esteban Bonfante MD Inc
• Sydney Evans
• Shawn Christopher Ewbank, PSY.D.
• Afsaneh Fakour, RD
• Mary Flittner
• Jahir Alejandro Flores Lujan
• Forever Living Deliciously LLC
• Garry Forkosh, M.D.
• Cassie Fox
• Franz Michel MD Inc

• Behavior Technician in Newbury Park, CA
• Providers in Newbury Park, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; 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.