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

Jacklyn Carrillo, BCBA

Individual provider Other Technician · NPI 1700310729

Jacklyn Carrillo, BCBA is an Other Technician in Dearborn, Michigan. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2021 Monroe St
Dearborn, MI 48124-2926
Phone: (517) 245-4777
Fax: (517) 698-8223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Other Technician Taxonomy 247200000X

Record details

NPI number1700310729
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedApril 17, 2017
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing addressPo Box 12279, Lansing, MI 48901-2279

Other providers in Dearborn