Individual
MRS. NANCY CARDOSO DOMINESEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-2220 KAIWAWALO ST UNIT 1306, EWA BEACH, HI 96706-6551
(540) 645-9541
Mailing address
91-2220 KAIWAWALO ST UNIT 1306, EWA BEACH, HI 96706-6551
(540) 645-9541
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
19106777
HI
Other
Enumeration date
11/08/2022
Last updated
11/11/2022
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