Individual
ANASTASIA BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LBA, BCBA
Contact information
Practice address
640 SEMINOLE RD, NORTON SHORES, MI 49441-4720
(231) 724-1152
Mailing address
115 N WEBER RD, MUSKEGON, MI 49445-2155
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/11/2017
Last updated
07/30/2021
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