Amanda E Carrillo, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-14-16852 Issued in CA

Practice address

2909 Oregon CT
Torrance, CA 90503-2645

Phone

(310) 320-1333

Fax

(310) 320-6555

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Autism Behavior Consultants, Inc

  • Behavior Analyst
  • Torrance, CA
  • NPI 1518233949
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1619479508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032645",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 OREGON CT",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905032645",
            "telephone_number": "310-320-1333",
            "fax_number": "310-320-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "AMANDA",
        "middle_name": "E",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-14-16852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilda Carreon, RPH
• Michelle Carreon, RN
• Brian D Carrico, DC
• Sharon Christine Carrigg Bailey
• Monserat Carrillo Venegas
• Lizeth Carrillo, MD, MPH
• Wendy Carrillo
• Jonathan Carrion
• Benjamin Patrick Carroll, M.D.
• Jessica Carroll

• Behavior Analyst in Torrance, CA
• Providers in Torrance, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.