Individual
ZACHERY GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
91-5007 KAPOLEI PKWY, KAPOLEI, HI 96707-3201
(808) 305-8320
Mailing address
1475 LINAPUNI ST APT 1116, HONOLULU, HI 96819-3551
(808) 763-7887
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA-880-0
HI
106S00000X
Behavior Technician
RBT-20-135010
HI
Other
Enumeration date
07/26/2021
Last updated
08/21/2024
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