Individual
ANDREA LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41-1611 INOAOLE ST, WAIMANALO, HI 96795
(808) 892-4059
Mailing address
600 ALA MOANA BLVD APT 1502, HONOLULU, HI 96813-4951
(949) 838-5506
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB360722
SC
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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