Individual
HEIDI RENEE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 427-9257
Mailing address
1390 MILLER ST, HONOLULU, HI 96813-2493
(702) 326-1154
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
05/25/2021
Last updated
03/26/2024
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