Individual
MARIE PERRICELLI LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
385 ALIIOLANI ST, MAKAWAO, HI 96768-8313
(808) 283-5883
Mailing address
385 ALIIOLANI ST, MAKAWAO, HI 96768-8313
(808) 283-5883
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
163
HI
Other
Enumeration date
10/09/2008
Last updated
11/29/2016
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