Individual
MARINA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
98-939 MOANALUA RD, AIEA, HI 96701-5012
(855) 223-7123
(619) 374-7134
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41423
HI
Other
Enumeration date
12/02/2019
Last updated
10/26/2023
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