Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1245590678 Individual Practitioner Male Practitioner

Brian J Carrillo

Behavior Technician • Gardena, CA

Professional Overview & Biography Verified Profile Summary

Brian Carrillo is a registered healthcare professional specializing in Behavior Technician in Gardena, CA. Practice services are available at 18726 S WESTERN AVE STE 408 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

18726 S Western Ave Ste 408

Gardena, CA 902483858

Telephone 3108560800
Fax 8555682494
Associated Practice Facility / Clinic
🏢 Behavior Frontiers, Llc Facility NPI 1245539394

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Gardena, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.0 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
2602 Specialists

Practicing in Gardena, CA (172337 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Behavior Technician Primary Specialty

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Residential Treatment Facility, Emotionally Disturbed Children

NUCC Taxonomy Code: 322D00000X

A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Secondary Practice Locations

714 W Main St

Grass Valley, CA 959456410

Phone: 5304779800

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Duaa Al-Khafaji , MS

Behavior Analyst

NPI 1003275835

Master of Science

NPI 1003374703

Master of Science, Board Certified Behavior Analyst

Cynthia Ramirez

Behavior Technician

NPI 1003427451
Geraldine Quinones

Behavior Technician

NPI 1003440157
Raymond Shelley

Behavior Analyst

NPI 1003451907
Michelle Simon

Behavior Technician

NPI 1003472879

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 18726 S WESTERN AVE STE 408, GARDENA, CA 902483858 (Tel: 3108560800)

📍
Updated Business Mailing Address March 17, 2018

Registered at 18726 S WESTERN AVE STE 408, GARDENA, CA 902483858 (Tel: 3108560800)

📍
Updated Practice Location March 08, 2018

Registered at 18726 S WESTERN AVE STE 408, GARDENA, CA 902483858 (Tel: 3108560800)

📍
Updated Business Mailing Address March 08, 2018

Registered at 18726 S WESTERN AVE STE 408, GARDENA, CA 902483858 (Tel: 3108560800)

NPI Profile Active May 18, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2012

Registered at 714 W MAIN ST, GRASS VALLEY, CA 959456410 (Tel: 5304779800)

📍
Updated Business Mailing Address May 18, 2012

Registered at 714 W MAIN ST, GRASS VALLEY, CA 959456410 (Tel: 5304779800)

👤
Provider Name / Credentials Updated May 18, 2012

Recorded as BRIAN CARRILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2012

Residential Treatment Facility, Emotionally Disturbed Children

🟢
Initial NPI Registration & Enumeration May 18, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1245590678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2012
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

18726 S Western Ave Ste 408

Gardena, CA 902483858

Phone: 3108560800

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.