Individual
BROOKE LEE KINIKINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
2831 ELDORADO PKWY STE 106, FRISCO, TX 75033-7438
(214) 778-1153
Mailing address
S KIHEI RD., SUITE 0735, KIHEI, HI 96753-5220
(808) 280-7524
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11518
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-20-11518
BCABA
HI
01
—
BCBA475882
BACB
HI
Enumeration date
03/17/2021
Last updated
07/02/2024
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