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Individual
QUINCY BONILLA
Active
Individual
QUINCY BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-236208
NC
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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