Individual
ELLA L FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
406 ANI ST, KAHULUI, HI 96732-2514
(808) 280-6479
Mailing address
406 ANI ST, KAHULUI, HI 96732-2514
(808) 280-6479
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-199630
HI
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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