Individual
PATRICIA DENISE CLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1670 MAKALOA ST STE 204-125, HONOLULU, HI 96814-3232
(800) 828-5659
Mailing address
4044 ENGER STREET, HONOLULU, HI 96818
(812) 486-8613
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-765-0
HI
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W460-684-92-844-0
DRIVER'S LICENSE
FL
Enumeration date
02/26/2020
Last updated
06/25/2023
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