Most Relevant Information
Provider Data
| NPI Number: | 1003550872 |
| Provider Name: | JASMIN ARACELI CARRILLO |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/26/2022 |
| Last Updated: | 04/27/2022 |
Provider Practice Location
225 S LAKE AVE STE 300
PASADENA
CA
911013009
Practice Location Phone/Fax
| Phone: | 3232448300 |
| Fax: |
Provider Mailing Location
8538 CHESTER ST
PARAMOUNT
CA
907235205
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |