Individual
GABRIELA GUADALUPE BONILLA REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5807
(909) 980-6700
Mailing address
4300 HOLT BLVD SPC 122, MONTCLAIR, CA 91763-4109
(909) 212-9402
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/17/2021
Last updated
04/16/2025
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