Individual
GELASIA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
427 ALA MAKANI ST STE 200, KAHULUI, HI 96732-3507
(808) 244-6879
Mailing address
427 ALA MAKANI ST STE 200, KAHULUI, HI 96732-3507
(808) 244-6879
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
15-10212
—
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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