Individual
MARLA KESSLER DOMINGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BED
Contact information
Practice address
6400 MAKANA RD, KAPAA, HI 96746-9485
(808) 651-2424
Mailing address
6400 MAKANA RD, KAPAA, HI 96746-9485
(808) 651-2424
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SL003334
HI
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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