Individual
TRACY KELLEHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WARD AVE, SUITE 219B, HONOLULU, HI 96814-4008
(808) 380-4465
Mailing address
72-4109 AWALUA PL, KAILUA KONA, HI 96740-8444
(305) 393-9805
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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