Individual
VICTORIA KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-43923
SC
106S00000X
Behavior Technician
RBT-16-26569
HI
Other
Enumeration date
12/07/2016
Last updated
08/21/2020
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