Individual provider · Type 1 NPI

Alonso Manuel Bonilla, BS

Behavior Technician · Marietta, GA

NPI number 1154920114 Active

Practice location

2651 Dallas Hwy SW
Marietta, GA 30064-2541

Call (678) 486-1904 Map

Fax (317) 520-8200

Mailing address

3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-20-139023 (GA)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1154920114

Alonso Manuel Bonilla, BS's National Provider Identifier is 1154920114, issued on Oct 21, 2020. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Marietta, GA. The record was last updated on Oct 21, 2020.