Kennedy Bonner
Behavior Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1871388694
StatusActive
Last updated in NPPESApr 11, 2025
Details
- NPI
- 1871388694
- Entity type
- Individual (NPI-1)
- Name
- Kennedy Bonner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 11, 2025
- Certification date
- Apr 11, 2025
- Last updated
- Apr 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
8616 La Tijera Blvd Ste 408Los Angeles, CA 90045-3950
Phone 310-337-7827
Mailing address
8616 La Tijera Blvd Ste 408Los Angeles, CA 90045-3950
Phone 310-337-7827
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