Individual
KIMMER LEE-ANN HORSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Mailing address
91-271 HANAPOULI CIR APT 14D, EWA BEACH, HI 96706-3702
(808) 797-6156
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB654861
HI
106S00000X
Behavior Technician
RBT-21-162106
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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