Jonathan Carrillo, M.A. BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-40880 Issued in CA

Practice address

18008 Sky Park Cir Ste 110
Irvine, CA 92614-6434

Phone

(949) 474-1493

NPI assigned

Jan 18, 2018

Sex

Male

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

Credentials

Master of Arts

Practice roles

Locations

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.

• Ascent ABA

  • Behavior Analyst
  • Rancho Cucamonga, CA
  • NPI 1487363271
  NPD Authorized official

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1912415449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 GABLE WAY",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936374965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18008 SKY PARK CIR STE 110",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926146434",
            "telephone_number": "949-474-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "JONATHAN",
        "credential": "M.A. BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-18",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-20-40880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Maria Carreon
• Barbara Alexandra Carrera Mendez
• Mario Carrera-Palestino
• Shahin Parvini Carrigan, PH.D., LMFT
• Jazmin Carrillo
• Yeisson Yerrick Carrillo
• Ragen Carsey
• Carter Laboratories
• Jennifer Carter-Robinson
• Arianna Carter

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; 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.