Individual
ALEXIS BROOKE WANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 ALA MOANA BLVD, SUITE 1, HONOLULU, HI 96814
(808) 585-1424
(808) 585-0379
Mailing address
74-217 ILILOA ST, KAILUA KONA, HI 96740-3304
(808) 731-9368
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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