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Individual

JENNIFER LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 392-5177
Mailing address
2474 KAPIOLANI BLVD APT 1004, HONOLULU, HI 96826-4666
(808) 392-5177

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-512
HI
106S00000X
Behavior Technician

Other

Enumeration date
12/27/2017
Last updated
04/16/2021
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