Individual
DENNISE SIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 KAHELU AVE STE 110, MILILANI, HI 96789-3913
(808) 625-3000
(808) 625-3006
Mailing address
100 KAHELU AVE STE 110, MILILANI, HI 96789-3913
(808) 625-3000
(808) 625-3006
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-48278
HI
103K00000X
Behavior Analyst
Primary
BA-511-0
HI
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/18/2015
Last updated
03/31/2021
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