Carrillo, Jennifer Lyne

Carrillo, Jennifer Lyne is an individual health care provider with primary practice located at 5762 Bolsa Ave Suite 101, Huntington Beach CA 92649-1172. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Carrillo, Jennifer Lyne can be contacted via phone (714) 292-2322.

Contact Information

Primary practice address
5762 Bolsa Ave Suite 101 Huntington Beach CA 92649-1172
Phone: (714) 292-2322
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-13-13534 California

Profile Details

NPI number 1700215217
LBN Legal business name Carrillo, Jennifer Lyne
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 5th, 2013
Last updated Nov 5th, 2013 - about 11 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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