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JACKLYN CARRILLO BCBA
NPI 1700310729
Behavior Analyst in Dearborn, MI

Active since April 17, 2017
2021 MONROE ST, DEARBORN, MI 48124(517) 245-4777(517) 698-8223 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 24, 2022, Apr 17, 2017 (2 updates tracked since 2017).

About Jacklyn Carrillo Bcba NPPES

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

JACKLYN CARRILLO BCBA (NPI 1700310729) is an individual behavior analyst provider in Dearborn, Michigan and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1700310729
Entity TypeIndividualFemale
Primary Taxonomy103K00000X
Provider Legal NameJACKLYN CARRILLOCredential: BCBA
Location Address2021 MONROE STDearborn, MI 48124-2926
Mailing AddressPo Box 12279Lansing, MI 48901-2279 · (517) 245-4777 · Fax (517) 698-8223
Phone(517) 245-4777
Fax(517) 698-8223
Sole ProprietorNo
Enumeration DateApril 17, 2017
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1700310729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
Definition

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.

Also ListedTechnician, OtherTaxonomy 247200000X
2021 MONROE ST, Dearborn, MI 48124
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 13

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

DR. TAWFIQ J HASSAN M.D.
Internal Medicine
2021 MONROE ST, 203
DEARBORN, MI 48124
Wayne County (313) 565-1111
CHARLES R. SLONE, M.D., P.C.
Internal Medicine (Gastroenterology)
2021 MONROE ST, SUITE 201
DEARBORN, MI 48124
Wayne County (313) 565-9390
JEFFREY E. PUCCIO M.D., P.C.
Internal Medicine (Gastroenterology)
2021 MONROE ST, SUITE 101
DEARBORN, MI 48124
Wayne County (313) 277-4177
DR. JEFFREY EUGENE PUCCIO MD
Specialist
2021 MONROE ST, SUITE 101
DEARBORN, MI 48124
Wayne County (313) 277-4177
CHARLES R SLONE M.D.
Internal Medicine (Gastroenterology)
2021 MONROE ST, SUITE 201
DEARBORN, MI 48124
Wayne County (313) 565-9390
STEPHANIE VICTORIA ZDYB
Behavior Analyst
2021 MONROE ST
DEARBORN, MI 48124
Wayne County (517) 245-4778
SAMAH KHATIB BCBA, LBA
Behavior Analyst
2021 MONROE ST
DEARBORN, MI 48124
Wayne County (517) 245-4778
MEGAN DENEHY
Behavior Analyst
2021 MONROE ST
DEARBORN, MI 48124
Wayne County (517) 245-4777

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 Jacklyn Carrillo's NPI number?

The NPI number for Jacklyn Carrillo is 1700310729. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Jacklyn Carrillo located?

Jacklyn Carrillo practices at 2021 Monroe St, Dearborn, MI 48124. The listed phone number is (517) 245-4777.

What is Jacklyn Carrillo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

What insurance does Jacklyn Carrillo accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Jacklyn Carrillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacklyn Carrillo was last updated on August 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.