Individual
MRS. JULIA MICHELLE PEREZ JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KAHELU AVE STE 112, MILILANI, HI 96789-3913
(808) 625-3000
Mailing address
95-227 WAIKALANI DR APT A1001, MILILANI, HI 96789-3540
(435) 773-1118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-548
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/27/2019
Last updated
03/15/2022
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