Individual
MS. JESSICA RACHEL EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 942-2882
Mailing address
607 N KING ST # A124, HONOLULU, HI 96817-5714
(206) 451-3671
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-113297
HI
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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