Individual
CRISTINA MARIA CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 DAVIS ST, SAN LEANDRO, CA 94577-6923
(415) 656-0116
Mailing address
777 DAVIS ST, SAN LEANDRO, CA 94577-6923
(415) 656-0116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
01/13/2025
Last updated
11/14/2025
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