Individual
ABEL CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12437 LEWIS ST STE 100, SUITE 100, GARDEN GROVE, CA 92840-4651
(714) 202-0118
Mailing address
12437 LEWIS ST STE 100, GARDEN GROVE, CA 92840-4651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/09/2026
Last updated
01/09/2026
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