Individual
MRS. WILLY GRACE P BUNGHANOY-DIAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LCSW
Contact information
Practice address
4510 SALT LAKE BLVD, SUITE D-8, HONOLULU, HI 96818-3153
(808) 591-6060
(808) 591-6233
Mailing address
4510 SALT LAKE BLVD, SUITE D-8, HONOLULU, HI 96818-3153
(808) 591-6060
(808) 591-6233
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-11848
HI
1041C0700X
Clinical Social Worker
Primary
4821
HI
Other
Enumeration date
06/26/2013
Last updated
05/23/2022
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