Active NPI
Angelique Carrillo
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1740786748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 15373 Innovation Dr Ste 170
San Diego, CA 92128-3427 - Phone
- (858) 723-8938
- NPI assigned
- Mar 30, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | Primary | ||
| Speech-Language Assistant | 2355S0801X |
Addresses
Primary practice location
15373 Innovation Dr Ste 170
San Diego, CA 92128-3427
Mailing address
PO Box 740780
Atlanta, GA 30374-0780
Phone (855) 223-7123
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 |
|---|---|---|---|
| Hope Speech and Language Therapy | Behavior Analyst | Current | Accepting new patients |
| Key to Behavior | Behavior Analyst | Current | Accepting new patients |
Locations
41760 Ivy St
Ste 101
Murrieta, CA 92562
Phone (951) 215-6147
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Murrieta, CA
- NPI 1730571928
Behavior Analyst
-
dba Hope Comprehensive Center for Development
- Behavior Analyst
- Murrieta, CA
- NPI 1588936074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1740786748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 740780",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303740780",
"telephone_number": "855-223-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15373 INNOVATION DR STE 170",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283427",
"telephone_number": "858-723-8938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "ANGELIQUE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-30",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.