Individual
DAYANA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1611 HULI RD, KILAUEA, HI 96754-5565
(808) 292-7968
Mailing address
91-1027 WAIPAA ST, EWA BEACH, HI 96706-6499
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-489326
HI
Other
Enumeration date
11/08/2025
Last updated
11/08/2025
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