Individual
MISS STEPHANIE NICOLE SALTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 591-6060
Mailing address
45-510 KAMEHAMEHA HWY APT 2, KANEOHE, HI 96744-1956
(808) 589-6397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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