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

Latashiay Bonilla

Individual provider Behavior Technician · NPI 1104405026

Latashiay Bonilla is a Behavior Technician in Greenwood, Indiana. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1217 Old Vines Trl
Greenwood, IN 46143-3412
Phone: (317) 533-3507
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 number1104405026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address27777 Inkster Rd Ste 100, Farmington Hills, MI 48334-5312

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