Individual
MICHELLE MARIE ISRAEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16-566 KEAAU PAHOA RD, KEAAU, HI 96749-8137
(808) 294-3022
Mailing address
2650 AINAOLA DR, HILO, HI 96720-3538
(808) 493-9084
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-599
HI
Other
Enumeration date
02/02/2012
Last updated
10/07/2021
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