Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angelique Carrillo

Individual provider Behavior Analyst · NPI 1740786748

Angelique Carrillo is a Behavior Analyst in San Diego, California. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
2

Practice location Address checks out

15373 Innovation Dr Ste 170
San Diego, CA 92128-3427
Phone: (858) 723-8938
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Speech-Language Assistant Taxonomy 2355S0801X

Record details

NPI number1740786748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 30, 2018
Last updated in NPPESMay 26, 2026
Certification dateMay 26, 2026
Mailing addressPo Box 740780, Atlanta, GA 30374-0780

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