Most Relevant Information
Provider Data
NPI Number: | 1003322389 |
Provider Name: | ELEXIS SPENCE BCABA, RBT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: | RBT-16-15071 |
Most Important Dates
Enumeration Date: | 12/21/2017 |
Last Updated: | 06/27/2024 |
Provider Practice Location
100 KAHELU AVE STE 112
MILILANI
HI
967893913
Practice Location Phone/Fax
Phone: | 8086253000 |
Fax: |
Provider Mailing Location
100 KAHELU AVE STE 112
MILILANI
HI
967893913
Provider Mailing Phone/Fax
Phone: | 8086253000 |
Fax: |