Individual
ERICA HALANA MALIE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 ALAKEA ST FL 9, HONOLULU, HI 96813-2833
(808) 523-7771
Mailing address
91-1777 KUPELEKO PL, EWA BEACH, HI 96706-3634
(808) 754-9085
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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