Individual
BETZAIDA BONILLA-DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7121A NORTH AVE, OAK PARK, IL 60302-1002
(708) 201-1665
Mailing address
1309 S 57TH AVE, CICERO, IL 60804-1155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/24/2025
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