Individual
CHANDLEY JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3-3122 KUHIO HWY, LIHUE, HI 96766-1147
(808) 246-9102
Mailing address
PO BOX 1008, KILAUEA, HI 96754-1008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
HI
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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