Individual
MS. COREY AMANDA BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, 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
BA-42
HI
103K00000X
Behavior Analyst
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Other
Enumeration date
02/18/2014
Last updated
04/12/2023
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