Individual
CIARA RACQUEL ULLOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
1414 WARD AVE, HONOLULU, HI 96822-3514
(646) 676-7039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-456769
HI
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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