Individual
COLLEEN RENEE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT 24-343610
Contact information
Practice address
1367 S KIHEI RD, KIHEI, HI 96753-5802
(252) 343-8261
Mailing address
1367 S KIHEI RD, KIHEI, HI 96753-5802
(252) 343-8261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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