Individual
JE TAIME NOHEALANI CENTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RBT
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 944-2882
Mailing address
PO BOX 2003, WAIANAE, HI 96792-8003
(808) 979-5139
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-08715
HI
Other
Enumeration date
12/26/2017
Last updated
10/15/2024
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