Tanya Carrillo, RBT

NPI #1386147601 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1386147601
Entity Type: Individual
Name: Tanya Carrillo, RBT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: RBT
Enumeration Date: Mar 13, 2018
Last Updated: Mar 13, 2018

Practice Location

Address: 5198 IROQUOIS AVE
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-3252
Phone: (619) 947-9881

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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