Individual
ALEXIS HELEN CANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
67-236 KUKEA CIR, WAIALUA, HI 96791-9517
(843) 655-2641
Mailing address
67-236 KUKEA CIR, WAIALUA, HI 96791-9517
(843) 655-2641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-18-68725
HI
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
10/22/2018
Last updated
09/18/2024
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