Individual
JESSICA STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 591-6060
Mailing address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 591-6060
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-14-5813
HI
Other
Enumeration date
09/29/2014
Last updated
01/14/2016
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