Bonner, Elyssa

Bonner, Elyssa is an sole proprietor health care provider with primary practice located at 8270 Willow Oaks Corporate Dr , Fairfax VA 22031-4530. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Bonner, Elyssa can be contacted via phone (571) 423-4900.

Contact Information

Primary practice address
8270 Willow Oaks Corporate Dr Fairfax VA 22031-4530
Phone: (571) 423-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X PPS-0607528 Virginia
Behavioral Health & Social Service Providers / School 103TS0200X PPS-0607528 Virginia

Profile Details

NPI number 1629610092
LBN Legal business name Bonner, Elyssa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2019
Last updated Dec 16th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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