Bonanno, Ileana Maria

Bonanno, Ileana Maria is an individual health care provider with primary practice located at 871 E Broadway Apt 3 , South Boston MA 02127-2322. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Bonanno, Ileana Maria can be contacted via phone (984) 289-7977.

Contact Information

Primary practice address
871 E Broadway Apt 3 South Boston MA 02127-2322
Phone: (984) 289-7977
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1982355947
LBN Legal business name Bonanno, Ileana Maria
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2022
Last updated Jan 11th, 2022 - about 2 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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