Individual
SHADEN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
65-1279 KAWAIHAE RD, KAMUELA, HI 96743-8444
(808) 785-3685
Mailing address
73-4383 NEHIWA ST, KAILUA KONA, HI 96740-9317
(808) 785-3685
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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