Individual
COURTNEY KEALAILANI GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(415) 989-5000
Mailing address
1011 15TH AVE, HONOLULU, HI 96816-3631
(808) 268-4841
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-124379
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/17/2020
Last updated
11/18/2022
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