Individual
IVORY MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N VINEYARD BLVD, SUITE 153, HONOLULU, HI 96817-3950
(808) 523-8188
(808) 524-8186
Mailing address
200 N VINEYARD BLVD, SUITE 153, HONOLULU, HI 96817-3950
(808) 523-8188
(808) 524-8186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-567
HI
Other
Enumeration date
04/20/2016
Last updated
05/30/2023
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