Jacklyn Carrillo, BCBA
Jacklyn Carrillo is a Behavior Analyst provider (Behavior Analyst) practicing in Dearborn, MI, registered in the NPPES registry with NPI 1700310729 since 2017.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700310729 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Jacklyn Carrillo |
| Credential | BCBA |
| Sex | Female |
| Practice address | 2021 MONROE ST, Dearborn, MI, 48124 |
| Phone | 5172454777 |
| Fax | 5176988223 |
| Enumeration date | 2017-04-17 |
| Last updated in NPPES | 2022-08-24 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 247200000X | Other Technician | Secondary | — | — |
| 103K00000X | Behavior Analyst | Primary | — | — |
Copy-ready billing details
Provider: Jacklyn Carrillo, BCBA NPI: 1700310729 Taxonomy: 103K00000X (Behavior Analyst) Address: 2021 MONROE ST, Dearborn, MI, 48124
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639149610 | Charles Slone | Individual | Gastroenterology Physician | Dearborn, MI |
| 1144290909 | Tawfiq Hassan | Individual | Internal Medicine Physician | Dearborn, MI |
| 1275507733 | Jeffrey Puccio | Individual | Specialist | Dearborn, MI |
| 1770889834 | Charles R. Slone, M.D., P.C. | Organization | Gastroenterology Physician | Dearborn, MI |
| 1619245461 | Jeffrey E. Puccio M.D., P.C. | Organization | Gastroenterology Physician | Dearborn, MI |
| 1750809190 | Samah Khatib | Individual | Behavior Analyst | Dearborn, MI |
| 1306337472 | Shiem Alazawi | Individual | Dentist | Dearborn, MI |
| 1548814551 | Advance Aba , LLC | Organization | Community/Behavioral Health Agency | Dearborn, MI |
Verify this record
Cross-check NPI 1700310729 against the authoritative CMS record: view Jacklyn Carrillo on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-08-24.