Carlos Bonilla

NPI #1093127375 in Lacey, Washington

Provider Information

NPI Number: 1093127375
Entity Type: Individual
Name: Carlos Bonilla
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: May 21, 2014
Last Updated: May 21, 2014

Practice Location

Address: 8282 28TH CT NE
Address 2: SUITE A
City: Lacey
State: Washington
ZIP Code: 98516-7162
Phone: (360) 915-6868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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