Brian J Carrillo
Brian J Carrillo is an Emotionally Disturbed Childrens' Residential Treatment Facility in Gardena, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
18726 S Western Ave Ste 408Gardena, CA 90248-3858
Phone: (310) 856-0800
Fax: (855) 568-2494
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 714 W Main St, Grass Valley, CA 95945-6410 — (530) 477-9800
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X |
Record details
| NPI number | 1245590678 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 18, 2012 |
| Last updated in NPPES | March 17, 2018 |
| Mailing address | 18726 S Western Ave Ste 408, Gardena, CA 90248-3858 |
Other providers in Gardena
-
Fleming & Barnes, Inc
13019 Ruthelen St, Gardena, CA 90249-1819 · (310) 791-3064