Individual
MS. ROXANNE MICHEL BRISTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
94-820 LUMIAUAU ST APT D101, WAIPAHU, HI 96797-6801
(714) 213-9271
Mailing address
94-820 LUMIAUAU ST, APT D101, WAIPAHU, HI 96797-4859
(714) 213-9271
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA139
HI
Other
Enumeration date
07/19/2016
Last updated
05/13/2022
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