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Brian J Carrillo

Behavior Technician β€’ Gardena, CA

Active NPI 1245590678 Individual Practitioner Male Practitioner
Practice location in NPPES

18726 S Western Ave Ste 408
Gardena, CA 902483858

Call 3108560800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

18726 S Western Ave Ste 408

Gardena, CA 902483858

Telephone 3108560800
Fax 8555682494
Organization at the Same NPPES Address or Phone
Behavior Frontiers, Llc Facility NPI 1053734012

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grass Valley, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Gardena and California

2,589 active clinicians are listed under Behavior Technician with a practice address in Gardena, CA (171,692 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Gardena

0% of these 2,589 clinicians have the CMS telehealth indicator.

0.1% of these 2,589 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Secondary Practice Locations

714 W Main St

Grass Valley, CA 959456410

Phone: 5304779800

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 17, 2018

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

πŸ“
Updated Business Mailing Address March 17, 2018

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

πŸ“
Updated Practice Location March 08, 2018

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

πŸ“
Updated Business Mailing Address March 08, 2018

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

βœ…
NPI Profile Active May 18, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 18, 2012

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

πŸ“
Business Mailing Address (Initial Record) May 18, 2012

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

πŸ‘€
Provider Name / Credentials (Initial Record) May 18, 2012

Recorded as BRIAN CARRILLO

πŸŽ“
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.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.