Individual
CHERYNE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST STE 101, HONOLULU, HI 96813-2403
(575) 219-2049
Mailing address
170 ABBOTT ST UNIT 101, WAHIAWA, HI 96786-7800
(575) 219-2049
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/04/2022
Last updated
07/04/2022
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