Individual
CHANDISS RAUSCHENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
92-461 MAKAKILO DR, KAPOLEI, HI 96707-1270
(808) 678-3814
Mailing address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 457-9855
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63337
HI
106S00000X
Behavior Technician
RBT-20-142820
HI
Other
Enumeration date
06/12/2019
Last updated
08/15/2024
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