Individual
FATALY WILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALAMOANA BLVD #7-400, HONOLULU, HI 96813
(808) 745-9145
Mailing address
1318 NANAKAI ST, PEARL CITY, HI 96782-2747
(808) 745-9145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
HI
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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