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NPI Code Detail

MEDICARE: ROSSANGELLY TORO CARRILLO BCBA

MEDICARE: ROSSANGELLY TORO CARRILLO BCBA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst1-25-85711MA

General Provider Information

NPI Number : 1134083389
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSSANGELLY TORO CARRILLO BCBA
Provider Business Mailing Address
First Line : 18726 S WESTERN AVE
Second Line :
City : GARDENA
State : CA
Zip : 90248-3813
Country : US
Telephone Number : 310-856-0800
Fax Number : 855-568-2494
Provider Business Practice Location Address
First Line : 1413 GABLES CT
Second Line :
City : PLANO
State : TX
Zip : 75075-7643
Country : US
Telephone Number : 972-665-7251
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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