Individual
MADISON CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47-029 HUI IWA PL APT F, KANEOHE, HI 96744-4415
(808) 597-7108
Mailing address
47-029 HUI IWA PL APT F, KANEOHE, HI 96744-4415
(808) 597-7108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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