Individual
ERIN HEASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15-2057 28TH AVE, KEAAU, HI 96749
(808) 824-2884
Mailing address
7192 KALANIANAOLE HWY STE A143A, HONOLULU, HI 96825-1849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-144988
HI
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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