Individual
ANNIKEN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
RBT
Contact information
Practice address
69 RAILROAD AVE, HILO, HI 96720-7509
(808) 935-7949
Mailing address
PO BOX 541, KEAAU, HI 96749-0541
(808) 935-7949
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1373904
HI
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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