Jake Bonanno

NPI #1043909401 in Cape Coral, Florida

Provider Information

NPI Number
1043909401
Entity Type
Individual
Name
Jake Bonanno
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
May 2, 2023
Last Updated
May 2, 2023

Practice Location

Address
730 SW 4TH ST STE 6
State
Florida
ZIP Code
33991-1984
Phone
(239) 910-0712

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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