Individual
HAZEL BONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 W AVENUE J STE C, LANCASTER, CA 93534-3443
(661) 687-9008
Mailing address
921 W AVENUE J STE C, LANCASTER, CA 93534-3443
(661) 949-0131
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
04/29/2025
Last updated
09/30/2025
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