Individual
NICOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
200 N VINEYARD BLVD STE A330, HONOLULU, HI 96817-3950
(808) 425-0195
(808) 369-7106
Mailing address
200 N VINEYARD BLVD STE A330, HONOLULU, HI 96817-3950
(808) 425-0195
(808) 369-7106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-36053
CO
Other
Enumeration date
03/20/2018
Last updated
12/12/2024
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