Individual
JONELLE MARIE HARUNO VISITACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
94-747 MEHEULA PKWY APT 17B, MILILANI, HI 96789-4002
(808) 291-7575
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-126010
HI
106S00000X
Behavior Technician
—
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/03/2020
Last updated
11/14/2022
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