Individual
ALEXANDRIA WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
99-870 IWAENA ST STE 101, AIEA, HI 96701-3278
(808) 277-7736
Mailing address
2222 CITRON ST APT 803, HONOLULU, HI 96826-3560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-181982
HI
Other
Enumeration date
11/24/2021
Last updated
04/12/2023
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