Individual
CAROL VELASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3-3122 KUHIO HWY, SUITE A15, LIHUE, HI 96766-1147
(808) 246-9102
(808) 246-8609
Mailing address
401 PAPALOA RD, #902, KAPAA, HI 96746-1418
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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