Individual
LISA MCKAY BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
715 TERRACE ST STE 201, MUSKEGON, MI 49440-1107
(231) 830-9376
Mailing address
715 TERRACE ST STE 201, MUSKEGON, MI 49440-1107
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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