Individual
KELLI JEAN TOTTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
74-5620 PALANI RD STE 105, KAILUA KONA, HI 96740-3640
(808) 640-2141
Mailing address
89-754 LANI KONA RD, CAPTAIN COOK, HI 96704-8912
(808) 938-9168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96428
HI
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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