NPI 1407363021 · live from the CMS NPI Registry
Luis Bonilla
Behavior Analyst in Orange, CA. National Provider Identifier 1407363021, active.
NPI record
| NPI | 1407363021 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1820 W Orangewood Ave Ste 110, Orange, CA 92868 |
| Practice phone | 714-696-2862 |
| Enumerated | January 4, 2018 |
| Last updated | November 21, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | AB-IN-10178943 (OR) |
| Behavior Analyst primary | 103K00000X | 1-21-54132 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.