Individual
ALEJANDRO ELIAS CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2455 FLORES ST, SAN BERNARDINO, CA 92407-6702
(909) 775-8391
Mailing address
2455 FLORES ST, SAN BERNARDINO, CA 92407-6702
(909) 301-1939
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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