Healthcare Provider Details

I. General information

NPI: 1558277806
Provider Name (Legal Business Name): PRESLEY CERRILLO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 E CHATHAM ST
CARY NC
27511-3475
US

IV. Provider business mailing address

303 SMITH LEVEL RD APT E31
CHAPEL HILL NC
27516-8379
US

V. Phone/Fax

Practice location:
  • Phone: 984-217-2321
  • Fax:
Mailing address:
  • Phone: 910-664-4090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: