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

Anthony Carrillo

Individual provider Behavior Technician · NPI 1407557622

Anthony Carrillo is a Behavior Technician in Petaluma, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1425 N McDowell Blvd Ste 206
Petaluma, CA 94954-6525
Phone: (855) 223-7123
Fax: (619) 374-7134
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1407557622
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 14, 2023
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address16782 Von Karman Ave Ste 11, Irvine, CA 92606-2417

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