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

Enrique Bonilla

Individual provider Behavior Technician · NPI 1104792035

Enrique Bonilla is a Behavior Technician in Covina, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

1274 Center Court Dr Ste 211
Covina, CA 91724-3668
Phone: (626) 339-4999
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence Y1749358 (CA)

Record details

NPI number1104792035
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2025
Last updated in NPPESOctober 16, 2025
Certification dateSeptember 30, 2025
Mailing address1274 Center Court Dr Ste 211, Covina, CA 91724-3668

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