Individual
MARISA GOEPPNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Mailing address
1661 LIMA ST, HONOLULU, HI 96819-2657
(508) 216-5331
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
09/16/2020
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