Carrillo, Brian J

Carrillo, Brian J is an sole proprietor health care provider with primary practice located at 18726 S Western Ave Ste 408 , Gardena CA 90248-3858. He recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is his primary health care specialty. Carrillo, Brian J can be contacted via phone (310) 856-0800.

Contact Information

Primary practice address
18726 S Western Ave Ste 408 Gardena CA 90248-3858
Phone: (310) 856-0800
Fax: (855) 568-2494
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X California

Profile Details

NPI number 1245590678
LBN Legal business name Carrillo, Brian J
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2012
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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