Individual
SAMANTHA WEGGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1917 COLBURN ST, HONOLULU, HI 96819-3248
(808) 845-0102
Mailing address
161 OHANA NUI CIR, HONOLULU, HI 96818-4528
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-876
HI
106S00000X
Behavior Technician
22-201649
HI
Other
Enumeration date
02/08/2022
Last updated
04/22/2025
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