Individual
ANNY BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
1060 BROADWAY #1287, ALBANY, NY 12204
(332) 257-4242
Mailing address
1060 BROADWAY #1287, ALBANY, NY 12204
(332) 257-4242
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA539
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004170
LICENSED BEHAVIOR ANALYST
NY
Enumeration date
07/25/2017
Last updated
08/07/2025
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