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Individual

MICHELLE PONTELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
142 KUPUOHI ST STE F4, LAHAINA, HI 96761-2711
(808) 866-3005
(808) 442-1330
Mailing address
45 E KUU AKU LN UNIT 311, LAHAINA, HI 96761-2755
(808) 866-3005
(808) 442-1330

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2001
HI
1041C0700X
Clinical Social Worker
Primary
4123
HI

Other

Enumeration date
07/31/2015
Last updated
07/23/2025
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