Individual
KELSIE REIKO NANI DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 WAIAKAMILO RD #202, HONOLULU, HI 96817-5119
(808) 845-0102
Mailing address
420 WAIAKAMILO RD #202, HONOLULU, HI 96817-5119
(808) 393-9826
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-638
HI
103K00000X
Behavior Analyst
BA-638-0
HI
Other
Enumeration date
12/15/2017
Last updated
10/10/2024
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