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Individual

CALEB CARRILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9439 DUGAS DR, SAN ANTONIO, TX 78245-1002
(210) 748-3690
Mailing address
1818 ROGERS RD APT 838, SAN ANTONIO, TX 78251-4595
(210) 328-9629

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-463870
TX

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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