Individual
BAILEY WANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 LILIHA ST STE 403, HONOLULU, HI 96817-1605
(415) 989-5000
Mailing address
PO BOX 233, KAILUA KONA, HI 96745-0233
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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