Individual
MS. SHANNON COLBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 206, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
1070 KAMEHAME DR, HONOLULU, HI 96825-2859
(808) 284-0520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-125223
HI
Other
Enumeration date
07/24/2021
Last updated
07/24/2021
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