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Individual

DEBORAH CANNOLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-1221 KA UKA BLVD UNIT 108, #167, WAIPAHU, HI 96797-6299
(808) 292-7968
Mailing address
87-2170 FARRINGTON HWY, WAIANAE, HI 96792-3854

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-76963
HI
106S00000X
Behavior Technician
Primary
HI

Other

Enumeration date
01/31/2019
Last updated
04/02/2026
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