Healthcare Provider Details

I. General information

NPI: 1831407923
Provider Name (Legal Business Name): CARRINE S PILKINGTON MS, BCBA, LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARRINE MOORE MS, BCBA, LMFT

II. Dates (important events)

Enumeration Date: 09/22/2010
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24046 CLINTON KEITH RD STE 101-190
WILDOMAR CA
92595-8050
US

IV. Provider business mailing address

24046 CLINTON KEITH RD STE 101-190
WILDOMAR CA
92595-8050
US

V. Phone/Fax

Practice location:
  • Phone: 951-579-8394
  • Fax:
Mailing address:
  • Phone: 951-579-8394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number01-09-5051
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC53374
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: