Individual
MADISON LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 KALANIANAOLE HWY SPC 5001, KAILUA, HI 96734-4669
(808) 247-2973
Mailing address
624 KALOLINA ST APT B, KAILUA, HI 96734-2087
(404) 372-5484
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
08/26/2024
Last updated
03/24/2025
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