Individual
MR. COURTNEY BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 RIPPLESTONE AVE, NORTH LAS VEGAS, NV 89081-3231
(619) 453-8348
Mailing address
1001 RIPPLESTONE AVE, NORTH LAS VEGAS, NV 89081-3231
(619) 453-8348
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/19/2022
Last updated
08/19/2022
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