Individual
MRS. CHAZLEY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 KAPAA QUARRY PL, #5002, KAILUA, HI 96734
(808) 247-2973
Mailing address
45-458 NAKULUAI ST, KANEOHE, HI 96744-2221
(808) 373-6166
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1403258
HI
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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