Individual
MRS. MARICHELLE MARIANO BARCLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95-134 KAPAWA PL, MILILANI, HI 96789-1419
(808) 208-6960
Mailing address
94-972 AWAIKI ST, WAIPAHU, HI 96797-3215
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-204624
HI
Other
Enumeration date
02/22/2022
Last updated
10/21/2024
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