Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106E00000X | Assistant Behavior Analyst | HI |
NPI | 1033660923 |
---|---|
Provider Name | Cecily Salomon |
First Address | Kahului, HI 96732 |
Second Address | Kahului, HI 96732-1343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2016 |
Last Update Date | 17/10/2016 |