Individual
CHEYLEE OCTAVIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 PUKANA PL, HILO, HI 96720-3286
(808) 990-5828
Mailing address
1428 PUKANA PL, HILO, HI 96720-3286
(808) 990-5828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
06/17/2024
Last updated
06/27/2024
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