Individual
SELENA CORNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 554-3682
Mailing address
5032 MILBURN LOOP, WAHIAWA, HI 96786-4747
(915) 235-6878
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-161104
TX
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/30/2021
Last updated
01/02/2024
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