Individual
REBECCA FOSTER MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 591-6060
Mailing address
95-1016 HAALOHI ST, MILILANI, HI 96789-3001
(949) 282-7473
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-600-0
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/22/2018
Last updated
10/22/2021
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