Individual
MISS JENNA SOHEE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5070 LIKINI ST APT 911, HONOLULU, HI 96818-2373
(808) 227-0034
Mailing address
5070 LIKINI ST APT 911, HONOLULU, HI 96818-2373
(808) 227-0034
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-23-14526
HI
103K00000X
Behavior Analyst
Primary
1-24-73840
HI
106S00000X
Behavior Technician
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Other
Enumeration date
07/24/2020
Last updated
08/20/2024
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