Individual
SHANA KRISTINE IKEDA VALENZUELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BACB 1-21-49139
Contact information
Practice address
825 MANZELMAN CIR, HONOLULU, HI 96818-4733
(808) 307-4630
Mailing address
2914 ALA PILI PL, HONOLULU, HI 96818-1624
(808) 216-4476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA533
HI
Other
Enumeration date
09/21/2022
Last updated
06/19/2023
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