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Individual
MRS. ELEONZETTA ENJOLI BONILLA
Active
Individual
MRS. ELEONZETTA ENJOLI BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S, CCC-SLP/BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-20-46050
OK
103K00000X
Behavior Analyst
3774
TX
235Z00000X
Speech-Language Pathologist
Primary
24779
TX
235Z00000X
Speech-Language Pathologist
SA16808
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202804501
—
TX
Enumeration date
02/06/2008
Last updated
12/21/2021
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