Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dale Bongolan

Individual provider Behavior Technician · NPI 1700489077

Dale Bongolan is a Behavior Technician in San Diego, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

9920 Pacific Heights Blvd Ste 150
San Diego, CA 92121-4396
Phone: (303) 989-8169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1700489077
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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