Individual
ANIYAH JESSICA BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5059 W OAKDALE AVE, CHICAGO, IL 60641-5016
(773) 906-5228
Mailing address
5059 W OAKDALE AVE, CHICAGO, IL 60641-5016
(773) 906-5228
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-25-467011
IL
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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