Active NPI
Victoria Danielle Carrillo
- Behavior Technician
- Spokane Valley, WA
National Provider Identifier
1578293189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- CB70012809
- Practice address
- 16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830 - Phone
- (509) 900-3669
- NPI assigned
- Jun 15, 2022
- Sex
- Female
- Sole proprietor
- No
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 Technician | 106S00000X | CB70012809 | WA | Primary |
Addresses
Primary practice location
16201 E Indiana Ave Ste 3400
Spokane Valley, WA 99216-2830
Mailing address
210 E Lincoln Rd Apt 53
Spokane, WA 99208-5650
Other practice location 1
2132 E Bijou St Ste 109
Colorado Springs, CO 80909-5967
Phone (719) 425-7771
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecords.sanford.html |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CB70012809 | WA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L.E.a.P.S and Beyond, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Oak Harbor, WA
- NPI 1538504592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1578293189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 E LINCOLN RD APT 53",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992085650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16201 E INDIANA AVE STE 3400",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992162830",
"telephone_number": "509-900-3669"
}
],
"practiceLocations": [
{
"address_1": "2132 E Bijou St Ste 109",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809095967",
"country_code": "US",
"telephone_number": "719-425-7771",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARRILLO",
"first_name": "VICTORIA",
"middle_name": "DANIELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "WA",
"license": "CB70012809",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"address_1": "2132 E Bijou St Ste 109",
"city": "Colorado Springs",
"state": "CO",
"country_code": "US",
"postal_code": "809095967",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.