LISA NALANI BACAREZA
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1033782529- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1001 KAMOKILA BLVD STE 206, KAPOLEI, HI, 967072096
- Phone
- (808) 591-6969
Specialties & Taxonomies
Behavior Technician
Primary License: HI #RBT-20-149372
All Addresses
MAILING
94-337 ANANIA DR APT 9
MILILANI, HI, 967894500