Individual
NICOLE GRACE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5954 HALEOLA ST, HONOLULU, HI 96821-2141
(808) 295-9043
Mailing address
5954 HALEOLA ST, HONOLULU, HI 96821-2141
(808) 295-9043
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-313553
HI
Other
Enumeration date
10/08/2019
Last updated
12/06/2023
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