Individual
MR. ANTHONY BONILLA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 AARONA PL STE 208, KAILUA, HI 96734-2546
(808) 263-5521
Mailing address
1022 PROSPECT ST APT 902, HONOLULU, HI 96822-3470
(808) 783-6284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
06/23/2017
Last updated
06/23/2017
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