Individual
CHRISTINA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
16-590 KEAAU PAHOA RD, KEAAU, HI 96749-8105
(808) 315-9714
Mailing address
1028 LAULIMA WAY, HILO, HI 96720-2732
(808) 315-9714
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-460
HI
Other
Enumeration date
09/28/2022
Last updated
09/28/2022
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