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Deactivated NPI 1912782434 Deactivated / Inactive NPI Female Practitioner

Salma Andrea Carillo

Behavior Technician • Crystal, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Salma Carillo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 31, 2023
NPI Deactivation Date October 20, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Salma Carillo was a registered Behavior Technician practicing in Crystal, MN. Throughout an active medical career spanning 2 years, Salma Carillo provided care at the practice location at 4825 58TH AVE N until profile deactivation on 2025-10-20.

Practice Location & Contact Primary Location

Practice Address

4825 58th Ave N

Crystal, MN 554292821

Telephone 7012130726

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Technician in Crystal, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 4.8 Yrs
Regional Practice Density
61 Specialists

Practicing in Crystal, MN (16172 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.

Practice Associates & Co-Workers

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

28 Associated Practitioners
Brandon Howson

Behavior Technician

NPI 1033849419
Kristi Armstrong

Behavior Analyst

NPI 1043995608
Blessing Ferguson

Behavior Technician

NPI 1104647460
Joshua Simmons

Behavior Technician

NPI 1104663335
Andrew Pogreba

Behavior Technician

NPI 1124848445
Kiera Johnson

Behavior Technician

NPI 1164211314

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated October 20, 2025

Record deactivated on October 20, 2025

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Updated Practice Location October 12, 2025

Registered at 467 W BROADWAY AVE, FOREST LAKE, MN 550251402 (Tel: 9522081577)

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Updated Business Mailing Address October 12, 2025

Registered at 2350 226TH LN NE, BETHEL, MN 550059847 (Tel: 9522081577)

NPI Profile Active August 31, 2023

NPI status registered as active in NPPES database

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Updated Practice Location August 31, 2023

Registered at 4825 58TH AVE N, CRYSTAL, MN 554292821 (Tel: 7012130726)

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Updated Business Mailing Address August 31, 2023

Registered at 4825 58TH AVE N, CRYSTAL, MN 554292821 (Tel: 7012130726)

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Provider Name / Credentials Updated August 31, 2023

Recorded as SALMA CARILLO

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2023

Behavior Technician

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Initial NPI Registration & Enumeration August 31, 2023

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: 1912782434
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2023
Last Update: August 31, 2023
Deactivation Date: October 20, 2025

Mailing Address

4825 58th Ave N

Crystal, MN 554292821

Phone: 7012130726

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.