ETHAN CARRILLO
NPI 1174303531
Behavior Technician in Sacramento, CA

Active since October 03, 2023
3604-B FAIR OAKS BLVD #200, SACRAMENTO, CA 95864(855) 223-7123 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Carrillo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN CARRILLO (NPI 1174303531) is an individual behavior technician in Sacramento, California and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1174303531
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameETHAN CARRILLO
Location Address3604-B FAIR OAKS BLVD #200Sacramento, CA 95864
Mailing AddressPo Box 33568San Diego, CA 92163-3568 · (855) 223-7123
Sole ProprietorNo
Enumeration DateOctober 3, 2023
NPPES CertifiedSeptember 30, 2023
NPI 1174303531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
Definition
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200
SACRAMENTO, CA 95864
Behavior Technician
3604-B FAIR OAKS BLVD #200, SUITE 200
SACRAMENTO, CA 95864

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Carrillo's NPI number?

The NPI number for Ethan Carrillo is 1174303531. It was assigned to this individual provider in the NPPES registry on October 3, 2023.

Where is Ethan Carrillo located?

Ethan Carrillo practices at 3604-B Fair Oaks Blvd #200, Sacramento, CA 95864. The listed phone number is (855) 223-7123.

What is Ethan Carrillo's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Ethan Carrillo was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.