Individual
SHAYLA KATRICE BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3814 12TH ST NE, WASHINGTON, DC 20017-2630
(202) 569-3526
Mailing address
2714 JAMES M MCGEE JR ST SE, WASHINGTON, DC 20020-2094
(202) 948-4088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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