Vicky Carrillo Estrada

Individual provider Active NPI Behavior Technician · Hacienda Heights, CA

NPI 1891650883 · NPPES record last updated Dec 22, 2025

Key facts

NPI
1891650883
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
15852 Gale Ave
Hacienda Heights, CA 91745-1601
Phone
(855) 223-7123
NPI assigned
Dec 22, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

15852 Gale Ave
Hacienda Heights, CA 91745-1601

Mailing address

PO Box 33568
San Diego, CA 92163-3568
Phone (855) 223-7123

Other providers in Hacienda Heights, CA

All providers in Hacienda Heights, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.