Individual
SHELBY CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 WINDRIDGE RD, FRIENDSVILLE, TN 37737
(855) 832-6727
Mailing address
200 PROSPERITY DR, KNOXVILLE, TN 37923-4718
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT23263366
TN
225X00000X
Occupational Therapist
Primary
8568
TN
Other
Enumeration date
03/30/2023
Last updated
01/19/2026
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