Individual
DENISE HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 292-7968
Mailing address
91-1244 KAILEOLEA DR, EWA BEACH, HI 96706-6274
(808) 382-1671
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-31383
HI
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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