Edward Bonacci, BCBA
Individual provider Active NPI Behavior Analyst · Westchase, FL
NPI 1922572205 · NPPES record last updated Apr 17, 2023
Key facts
- NPI
- 1922572205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- Practice address
- 12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314 - Phone
- (866) 610-0580
- NPI assigned
- Jan 19, 2019
- Sex
- Male
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | ||
| Behavior Analyst | 103K00000X | NJ | Yes |
Addresses
Primary practice location
12725 Race Track Rd BLDG 5
Westchase, FL 33626-1314
Mailing address
1801 Broadacres Dr Apt 405
Clementon, NJ 08021-5656
Phone (098) 464-1066
Other providers in Westchase, FL
- B.Jenerous Care LLC
- Sameeha Bakr
- Gillian Benoit
- Hailey D Beyett
- Bethany Joy Bingham
- Destiny Borlasca
- Jordan Tomia Boykin
- Olivia Bozel
- Cameron Buchheister
- Lauren Caporale
All providers in Westchase, FL · Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.