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

Tina Marie Carrillo

Individual provider Behavior Technician · NPI 1164311411

Tina Marie Carrillo is a Behavior Technician in Mentone, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1267 Amethyst Ave
Mentone, CA 92359-9716
Phone: (909) 588-8864
Fax: (909) 588-8864
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 number1164311411
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 1, 2025
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

Other providers in Mentone