Individual
TIFANI MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4510 SALT LAKE BLVD, HONOLULU, HI 96818-3153
(808) 597-1711
Mailing address
724 KAKALA ST APT 1105, KAPOLEI, HI 96707-4631
(856) 246-8004
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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