Individual
ASHLEY JEAN MALULANI DELA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 AARONA PL STE 208, KAILUA, HI 96734-2545
(808) 263-5521
Mailing address
2 AARONA PL STE 208, KAILUA, HI 96734-2545
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-51506
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-18-51506
BACB RBT NUMBER
HI
Enumeration date
03/16/2018
Last updated
04/06/2018
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