Individual
LORENA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
#206-40 KUPUOHI ST., LAHAINA, HI 96761
(808) 446-4561
Mailing address
18 KILI NAHE ST, LAHAINA, HI 96761-8836
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-24-343661
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
11/22/2024
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