Individual
CARLEY PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ALA MOANA BLVD STE 7400, HONOLULU, HI 96813-4902
(808) 354-0910
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
RBT-25-418468
HI
Other
Enumeration date
11/12/2024
Last updated
09/14/2025
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