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

Ely Fernanda Bonilla

Individual provider Behavior Technician · NPI 1124816525

Ely Fernanda Bonilla is a Behavior Technician in Gardena, California. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

879 W 190th St Ste 1000
Gardena, CA 90248-4255
Phone: (310) 329-9115
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1124816525
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 28, 2025
Last updated in NPPESApril 28, 2025
Certification dateApril 28, 2025
Mailing address163 W 73rd St, Los Angeles, CA 90003-2001

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