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Individual

JENNA M NAKAMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP, BCBA

Contact information

Practice address
427 ALA MAKANI ST, KAHULUI, HI 96732-3507
(808) 244-6879
Mailing address
427 ALA MAKANI ST, KAHULUI, HI 96732-3507

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
LBA152
HI
235Z00000X
Speech-Language Pathologist
SP1081
HI

Other

Enumeration date
08/28/2017
Last updated
08/28/2017
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