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

Melissa Dominguez Carrillo

Individual provider Behavior Technician · NPI 1104574060

Melissa Dominguez Carrillo is a Behavior Technician in Stockton, California. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

2453 Grand Canal Blvd Ste A
Stockton, CA 95207-8259
Phone: (855) 223-7123
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 number1104574060
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

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