Individual
NICOLE CASSIDY HEICKLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 KALAKAUA AVE STE 701, HONOLULU, HI 96815-2341
(808) 501-2362
Mailing address
2155 KALAKAUA AVE STE 701, HONOLULU, HI 96815-2341
(808) 501-2362
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-483415
HI
Other
Enumeration date
06/04/2024
Last updated
11/03/2025
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