Individual
AMBER RAE SHOTKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3115 LAI RD # A, HONOLULU, HI 96816-3542
(808) 226-6347
Mailing address
3115 LAI RD # A, HONOLULU, HI 96816-3542
(808) 226-6347
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-13-14776
HI
Other
Enumeration date
11/29/2012
Last updated
08/04/2014
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