Individual
NAOMI LYNN GROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
505 IOLANI AVE, HONOLULU, HI 96813-6118
(845) 649-9096
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-206506
HI
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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