Provider Demographics
NPI:1366076986
Name:BONILLA, PILAR ISABELLA (BCBA, LBA)
Entity type:Individual
Prefix:MS
First Name:PILAR
Middle Name:ISABELLA
Last Name:BONILLA
Suffix:
Gender:F
Credentials:BCBA, LBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7701 E HUBBELL ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-2228
Mailing Address - Country:US
Mailing Address - Phone:630-779-9776
Mailing Address - Fax:
Practice Address - Street 1:10595 N TATUM BLVD STE E146
Practice Address - Street 2:
Practice Address - City:PARADISE VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85253-1072
Practice Address - Country:US
Practice Address - Phone:602-606-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBEH-000410103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst