- Practice location
- 1820 W Orangewood Ave Ste 110, Orange, CA 92868-5056
- Phone
- 714-696-2862
- Fax
- 714-242-9308
- Last updated
- November 21, 2022
Luis Bonilla is a Behavior Analyst based in Orange, CA. Luis Bonilla practices in Orange, CA. The NPI Number for Luis Bonilla is 1407363021 and holds a License No. AB-IN-10178943 (OR). The current practice location address for Luis Bonilla is 1820 W Orangewood Ave Ste 110, Orange, CA 92868-5056 and can be reached out via phone at 714-696-2862 and via fax at 714-242-9308.
Provider Profile Details
- NPI Number
- 1407363021
- Provider Name
- Luis Bonilla
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1820 W Orangewood Ave Ste 110, Orange, CA 92868-5056
- Phone Number
- 714-696-2862
- Fax Number
- 714-242-9308
- Primary Taxonomy
- Behavior Analyst · 103K00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 4, 2018
- Last Update Date
- November 21, 2022
- Certification Date
- November 21, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1820 W Orangewood Ave Ste 110
Orange, CA 92868-5056 - City
- Orange
- State
- California
- Zip
- 92868-5056
- Phone Number
- 714-696-2862
- Fax Number
- 714-242-9308
Provider Business Mailing Address Details
- Address
- 1820 W Orangewood Ave Ste 110
Orange, CA 92868-5056 - City
- Orange
- State
- CA
- Zip
- 92868-5056
- Phone Number
- 714-696-2862
- Fax Number
- 714-242-9308
License Information
- License Number (1)
- AB-IN-10178943
- License State (1)
- OR
- Taxonomy (1)
- Behavior Technician · 106S00000X
- License Number (2)
- 1-21-54132
- Taxonomy (2)
- Behavior Analyst · 103K00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Luis Bonilla?
The NPI number of Luis Bonilla is 1407363021. It was assigned on January 4, 2018 and is currently active in the NPPES registry.
What is the specialty of Luis Bonilla?
Luis Bonilla is registered under the primary taxonomy Behavior Analyst (code 103K00000X), licensed in OR under license number AB-IN-10178943.
Where does Luis Bonilla practice?
The practice location is 1820 W Orangewood Ave Ste 110, Orange, CA 92868-5056. The office can be reached at 714-696-2862 (phone) or 714-242-9308 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407363021 directly on the NPPES registry website.