Walter Bonilla Bonilla

NPI #1023676244 in Cutler Bay, Florida

Provider Information

NPI Number: 1023676244
Entity Type: Individual
Name: Walter Bonilla Bonilla
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jun 3, 2019
Last Updated: Jun 3, 2019

Practice Location

Address: 21346 SW 112TH AVE APT 304
City: Cutler Bay
State: Florida
ZIP Code: 33189-2965
Phone: (305) 793-2374

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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