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

Individual provider Behavior Technician · NPI 1790241867

Jared Charles Bonnici, LLP is a Behavior Technician in Novi, Michigan. Practices as a sole proprietor. Licensed in Illinois and Michigan.

Licensed in
IL, MI
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

43155 Main St Ste 2300
Novi, MI 48375-1777
Phone: (734) 323-4897
Fax: (248) 946-8107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6361008192 (MI)
Behavior Technician Taxonomy 106S00000X · Licence RBT-19-78419 (IL)

Record details

NPI number1790241867
Entity typeIndividual (Type 1)
GenderMale
Credentials LLP
Sole proprietorYes
NPI enumeratedFebruary 13, 2019
Last updated in NPPESJuly 24, 2025
Certification dateJuly 24, 2025

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