Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700310729 Individual Practitioner Female Practitioner

Jacklyn Carrillo , BCBA

Behavior Analyst • Dearborn, MI

Professional Overview & Biography Verified Profile Summary

Jacklyn Carrillo, BCBA is a registered healthcare professional specializing in Behavior Analyst in Dearborn, MI. Practice services are available at 2021 MONROE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2021 Monroe St

Dearborn, MI 481242926

Telephone 5172454777
Fax 5176988223
Associated Practice Facility / Clinic
🏢 Charles R. Slone, M.d., P.c. Facility NPI 1770889834

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Dearborn, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
127 Specialists

Practicing in Dearborn, MI (3207 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

CMS Verified: 2022-08-24
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Technician, Other

NUCC Taxonomy Code: 247200000X

A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jonathan Watt

Behavior Technician

NPI 1104719640
Martisha Woodruff

Behavior Technician

NPI 1114819331
Sana Mohsin

Behavior Technician

NPI 1164250817
Taylor Brown

Behavior Technician

NPI 1184466005
Malak Hussein

Behavior Technician

NPI 1194618645
Gloria Dyke

Behavior Analyst

NPI 1215694039

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 24, 2022

Registered at 2021 MONROE ST, DEARBORN, MI 481242926 (Tel: 5172454777)

📍
Updated Business Mailing Address August 24, 2022

Registered at PO BOX 12279, LANSING, MI 489012279 (Tel: 5172454777)

👤
Provider Name / Credentials Updated August 24, 2022

Recorded as JACKLYN CARRILLO, BCBA

NPI Profile Active April 17, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2017

Registered at 3231 S GULLEY RD, SUITE E, DEARBORN, MI 481244407 (Tel: 3132782327)

📍
Updated Business Mailing Address April 17, 2017

Registered at 620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 194441810

👤
Provider Name / Credentials Updated April 17, 2017

Recorded as JACKLYN CARRILLO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2017

Technician, Other

🟢
Initial NPI Registration & Enumeration April 17, 2017

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: 1700310729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2017
Last Update: August 24, 2022
Sole Proprietor: No

Mailing Address

Po Box 12279

Lansing, MI 489012279

Phone: 5172454777

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.