Individual
MANUEL ANTONIO FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIORAL THERAPIST
Contact information
Practice address
210 WARD AVE, 219 B, HONOLULU, HI 96814-4008
(808) 585-1424
Mailing address
94-989 HANAUNA ST, 1C, WAIPAHU, HI 96797-4756
(808) 779-2183
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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