Individual
AILEEN BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14701 NE 5TH CT, NORTH MIAMI, FL 33161-2122
(786) 587-5512
Mailing address
14701 NE 5TH CT, NORTH MIAMI, FL 33161-2122
(786) 587-5512
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-409831
FL
Other
Enumeration date
04/16/2025
Last updated
04/16/2025
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