Bonner, Jillian

Bonner, Jillian is an sole proprietor health care provider with primary practice located at 759 Village Dr , Hauppauge NY 11788-3214. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Bonner, Jillian can be contacted via phone (631) 839-7136.

Contact Information

Primary practice address
759 Village Dr Hauppauge NY 11788-3214
Phone: (631) 839-7136
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1962805796
LBN Legal business name Bonner, Jillian
Credentials M. ED., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2014
Last updated Oct 7th, 2014 - about 12 years ago

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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