Individual
DANA BOLTON-WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
77-121 QUEEN KALAMA AVE, KAILUA KONA, HI 96740-2427
(808) 345-1782
Mailing address
77-121 QUEEN KALAMA AVE, KAILUA KONA, HI 96740-2427
(808) 345-1782
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-95908
HI
Other
Enumeration date
08/14/2019
Last updated
05/21/2023
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