JOSE AMILCAR BONILLA (NPI# 1699293175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699293175 |
| Entity Type | Individual |
| Full Name | JOSE AMILCAR BONILLA |
| Other Name | JOSE AMILCAR BONILLA LAGOS |
| Practice Address |
668 3 Mile Rd Nw Grand Rapids MI 49544-8219 |
| Practice Telephone | 6166493129 |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2017-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932649993 | Jose L Bonilla | Nurse Anesthetist, Certified Registered | 7050 Gall Blvd., Zephyrhills, FL 33541 | 2017-02-24 |
| 1023447059 | Jose Bonilla | Counselor | 6265 Sepulveda, 9, Van Nuys, CA 91411 | 2013-11-12 |
| 1972131464 | Jose A. Bonilla | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave., Mailstop #1137, Toledo, OH 43614 | 2020-03-30 |
| 1073758918 | Jose Richard Bonilla | Social Worker | 120 Bethpage Rd, Suite 201, Hicksville, NY 11801-1515 | 2008-12-06 |
| 1689859779 | Jose Luis Bonilla | Pharmacist | 1070 Genesee St, Buffalo, NY 14211-3007 | 2008-01-08 |
| 1457375735 | Jose Vicente Bonilla | Specialist | 343 W Houston St, Suite 105, San Antonio, TX 78205-2107 | 2006-07-27 |
| 1255331781 | Jose Arturo Bonilla | Specialist | 16723 Huebner Rd, San Antonio, TX 78248-2342 | 2005-07-27 |
| Street Address |
668 3 MILE RD NW |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437521853 | Kelsey Franke | Technician, Other | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2015-10-25 |
| 1942777628 | Megan Zbinden | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2018-10-31 |
| 1255806147 | Nicole Sturgeon | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2018-10-08 |
| 1891277752 | Laura Ligtenberg | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2018-09-06 |
| 1740718485 | Joaquin Carew | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2017-05-25 |
| 1881120939 | Miranda Workman | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2017-05-11 |
| 1821524968 | Taylor Lascko | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2017-05-11 |
| 1275069114 | Tiffany Marie Sias | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2017-05-11 |
| 1679009641 | Anastasia Avdek | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544-8219 | 2017-05-11 |
| 1003342122 | Dawn Ream | Behavior Technician | 668 3 Mile Rd Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 106S00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavior Technician |
| The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467093 | Leah Jueckstock | Behavior Technician | 1703 N Greenfield Cir Ne Apt 102, Grand Rapids, MI 49505-5690 | 2020-11-03 |
| 1700492824 | Silas Mittelstaedt | Behavior Technician | 916 Benjamin Ave Se, Grand Rapids, MI 49506-3221 | 2020-09-23 |
| 1902413065 | Esther Kim | Behavior Technician | 3201 Burton St Se # Phi33, Grand Rapids, MI 49546-4301 | 2020-09-23 |
| 1619587995 | Taylor Villano | Behavior Technician | 2544 Sagewood Ave Ne Unit 618, Grand Rapids, MI 49525-2976 | 2020-08-03 |
| 1336757632 | Donte Castleberry | Behavior Technician | 415 Bradford St Ne, Grand Rapids, MI 49503-1638 | 2020-07-22 |
| 1467079574 | Kendall Romano | Behavior Technician | 1528 Hidden Creek Circle Dr Ne Apt F, Grand Rapids, MI 49505-5478 | 2020-07-06 |
| 1457976268 | Anna Wolff | Behavior Technician | 951 Sherman St Se, Grand Rapids, MI 49506-2603 | 2020-06-08 |
| 1194348763 | Alex Leahy | Behavior Technician | 255 Lane Ave Nw, Grand Rapids, MI 49504-7206 | 2020-05-18 |
| 1669095238 | Sarah Jackson | Behavior Technician | 234 Market Ave Sw Apt 49503, Grand Rapids, MI 49503-4080 | 2020-05-18 |
| 1952921926 | Vivian Horsch | Behavior Technician | 15 Gunnison Ave Sw, Grand Rapids, MI 49504-6217 | 2020-04-20 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on JOSE AMILCAR BONILLA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.