Individual
MELODY ERICSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL #5002, KAILUA, HI 96734
(808) 247-2973
Mailing address
99-870 IWAENA ST # 101, AIEA, HI 96701-3278
(808) 277-7736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-430
HI
106S00000X
Behavior Technician
—
HI
Other
Enumeration date
09/20/2017
Last updated
07/21/2022
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