Individual
MRS. JENNIFER PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-82511
—
Other
Enumeration date
09/19/2019
Last updated
09/20/2019
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