Individual
MRS. NICOLE LIPSITT FUKUNAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
500 ALA MOANA BLVD STE 74000, HONOLULU, HI 96813-4920
(808) 255-3699
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-185051
HI
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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