Individual
NICOLE SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 486-9197
Mailing address
870 HOOMAEMAE ST, PEARL CITY, HI 96782-2151
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-441
HI
Other
Enumeration date
12/26/2017
Last updated
10/22/2021
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