Individual
HANNAH BRODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N VINEYARD BLVD # A-600, HONOLULU, HI 96817-3950
(808) 536-1015
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
23-287079
HI
Other
Enumeration date
08/22/2023
Last updated
08/13/2025
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