Individual
JANELLE NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 206, KAPOLEI, HI 96707-2096
(808) 000-0000
Mailing address
1001 KAMOKILA BLVD STE 206, KAPOLEI, HI 96707-2096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-264374
HI
106S00000X
Behavior Technician
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Other
Enumeration date
12/12/2022
Last updated
11/02/2023
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