Individual
BETH REES JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3577 LALA RD, LIHUE, HI 96766-9520
(808) 274-3160
Mailing address
6455 PUUPILO RD, KAPAA, HI 96746-8403
(808) 346-1125
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
618822
HI
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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