Individual
SOPHIE M BOURRET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
203 KAPAA QUARRY PL, #5002, KAILUA, HI 96734
(808) 247-2973
(808) 427-3472
Mailing address
905 KALANIANAOLE HWY SPC 5001, KAILUA, HI 96734-4669
(808) 247-2973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-758
HI
106E00000X
Assistant Behavior Analyst
0-22-13497
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/06/2018
Last updated
03/27/2023
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