Bonilla Behavioral Health, PLLC
Psychologist in North Las Vegas, NV. Organization (NPI-2).
NPI number1295554210
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1295554210
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonilla Behavioral Health, PLLC
- Organization subpart
- No
- Enumeration date
- Oct 7, 2024
- Certification date
- Oct 7, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | – | – | Yes |
Practice location
7247 Dazzle Point StNorth Las Vegas, NV 89084-4745
Phone 323-875-4843
Mailing address
7247 Dazzle Point StNorth Las Vegas, NV 89084-4745
Authorized official
Leah Bonilla
Owner, Founder
3238754843
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