Individual
MICHELLE HOTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
25 KANEOHE BAY DR UNIT 211212, KAILUA, HI 96734-1727
(808) 388-1683
Mailing address
25 KANEOHE BAY DR UNIT 211212, KAILUA, HI 96734-1727
(808) 388-1683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61477
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-21-15591
CREDENTIAL
—
Enumeration date
03/23/2021
Last updated
02/13/2024
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