Monica Buonavita

Individual provider Active NPI Behavior Analyst · Alta Loma, CA

NPI 1609206804 · NPPES record last updated Apr 29, 2016

Key facts

NPI
1609206804
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
9586 Carrari CT
Alta Loma, CA 91737-1607
Phone
(909) 210-1068
NPI assigned
Nov 25, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

9586 Carrari CT
Alta Loma, CA 91737-1607

Mailing address

9586 Carrari CT
Alta Loma, CA 91737-1607
Phone (909) 210-1068

Other providers in Alta Loma, CA

All providers in Alta Loma, CA · Behavior Analyst in California

Sources for this page

Verify at the official NPI Registry.