Most Relevant Information
Provider Data
| NPI Number: | 1003412107 |
| Provider Name: | ANGELA MICHELLE DUDOIT RBT |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | 20-139664 |
Most Important Dates
| Enumeration Date: | 12/05/2020 |
| Last Updated: | 01/05/2021 |
Provider Practice Location
85-175 FARRINGTON HWY APT B116
WAIANAE
HI
967922175
Practice Location Phone/Fax
| Phone: | 8089537205 |
| Fax: |
Provider Mailing Location
85-175 FARRINGTON HWY APT B116
WAIANAE
HI
967922175
Provider Mailing Phone/Fax
| Phone: | 8089537205 |
| Fax: |