Brionna Gail Lee Buckholz
Behavior Technician in Waipahu, HI. Individual provider (NPI-1).
NPI number1043804875
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1043804875
- Entity type
- Individual (NPI-1)
- Name
- Brionna Gail Lee Buckholz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2021
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-19-103317 | HI | Yes |
Practice location
94-450 Mokuola St Ste 100Waipahu, HI 96797-3388
Phone 808-944-2882
Mailing address
6047 Wooten StWahiawa, HI 96786-7553
Phone 540-560-4050
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