Individual
JELENA MISKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 E LIPOA ST STE 29, KIHEI, HI 96753-8148
(808) 793-2005
Mailing address
144 PAULOA PL, KIHEI, HI 96753-8989
(917) 691-7663
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-976-0
HI
106S00000X
Behavior Technician
23-257480
HI
Other
Enumeration date
08/30/2023
Last updated
08/12/2025
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