Ernesto Joaquin Bonilla Valid NPI
Individual provider · Behavior Technician · San Mateo, CA
- NPI
- 1265062004
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2020-01-21
- Last updated
- 2020-01-21
Practice location
424 Peninsula Ave
San Mateo, CA 94401-1653
(650) 286-4396