Individual
SHANON ISOKANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
2015 WILDER AVE APT 3H, HONOLULU, HI 96822-3382
(808) 392-4766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
19-82473
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-19-82473
BACB
—
Enumeration date
10/03/2016
Last updated
11/14/2022
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