Organization
BEHAVIORAL HEALTH & FAMILY MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEESHA-ANN DOMINGO (OWNER)
(808) 358-2991
Entity
Organization
Contact information
Practice address
47-653 KAMEHAMEHA HWY STE 205, KANEOHE, HI 96744-4965
(808) 358-2991
(808) 239-9763
Mailing address
47-241 HUI IWA ST APT C, KANEOHE, HI 96744-4344
(808) 358-2991
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
03/30/2022
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