Individual
ANELA OKALANI FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 GLEN AVE, WAHIAWA, HI 96786-2406
(808) 622-6393
Mailing address
4234 KEAKA DR, HONOLULU, HI 96818-1107
(808) 649-9431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154080
HI
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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