Individual
CREELYN JOY MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL #5002, KAILUA, HI 96734
(808) 940-7792
Mailing address
1623 ALAPAI ST APT 202, HONOLULU, HI 96813-1905
(808) 940-7792
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-1065
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
08/12/2026
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