Individual
SHAKAYLA CA'LEXIS STANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5294 CATLIN LN, HONOLULU, HI 96818-3478
(254) 535-1727
Mailing address
5294 CATLIN LN, HONOLULU, HI 96818-3478
(254) 535-1727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
06/15/2023
Last updated
06/15/2023
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