Individual
JENNIFER CINDY BONILLA-LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 BUSINESS CENTER DR, SAN BERNARDINO, CA 92408-3436
(909) 890-5930
Mailing address
26585 PACIFIC ST, HIGHLAND, CA 92346-2416
(909) 936-6584
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/14/2020
Last updated
06/04/2024
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