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

Ivan Carrillo

Individual provider Behavior Technician · NPI 1720946361

Ivan Carrillo is a Behavior Technician in Baltimore, Maryland. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1777 Reisterstown Rd Ste 165R
Baltimore, MD 21208-1387
Phone: (410) 541-1316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1720946361
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address1777 Reisterstown Rd Ste 165r, Baltimore, MD 21208-1387

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