Elizabeth Mae Bonghi

NPI #1174179162 in Bainbridge Island, Washington

Provider Information

NPI Number: 1174179162
Entity Type: Individual
Name: Elizabeth Mae Bonghi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2019
Last Updated: Aug 23, 2019

Practice Location

Address: 897 TAURNIC PL NW
City: Bainbridge Island
State: Washington
ZIP Code: 98110-2760
Phone: (206) 790-2339

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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