Jacklyn Carrillo , BCBA
Behavior Analyst β’ Dearborn, MI
2021 Monroe St
Dearborn, MI 481242926
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
2021 Monroe St
Dearborn, MI 481242926
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Behavior Analyst: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2017
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, βDoes your provider accept Medicare as full payment?β
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.
Compared with the same specialty in Dearborn and Michigan
127 active clinicians are listed under Behavior Analyst with a practice address in Dearborn, MI (3,195 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Dearborn
0% of these 127 clinicians have the CMS telehealth indicator.
0% of these 127 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
Self-certified to NPPES: 2022-08-24NUCC 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.
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.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Dentist
Doctor of Dental Surgery
Internal Medicine
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 2021 MONROE ST, DEARBORN, MI 481242926 (Tel: 5172454777)
Registered at PO BOX 12279, LANSING, MI 489012279 (Tel: 5172454777)
Recorded as JACKLYN CARRILLO, BCBA
NPI status registered as active in NPPES database
Registered at 3231 S GULLEY RD, SUITE E, DEARBORN, MI 481244407 (Tel: 3132782327)
Registered at 620 GERMANTOWN PIKE, LAFAYETTE HILL, PA 194441810
Recorded as JACKLYN CARRILLO
Technician, Other
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
Po Box 12279
Lansing, MI 489012279
Phone: 5172454777