Individual
TATEANA BRANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
95-708 MAKAIOLANI ST, MILILANI, HI 96789-2940
(808) 220-4300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA608
HI
Other
Enumeration date
07/25/2018
Last updated
05/01/2023
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