Individual
ANGELIQUE CARRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41760 IVY ST STE 101, MURRIETA, CA 92562-9416
(951) 595-4673
Mailing address
41760 IVY ST STE 101, MURRIETA, CA 92562-9416
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
2355S0801X
Speech-Language Assistant
—
—
Other
Enumeration date
03/30/2018
Last updated
09/27/2024
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