Most Relevant Information
Provider Data
| NPI Number: | 1003594672 |
| Provider Name: | ADRIENE DUANE FREEMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RB-23-282215 |
Most Important Dates
| Enumeration Date: | 07/05/2023 |
| Last Updated: | 07/05/2023 |
Provider Practice Location
94-428 MOKUOLA ST STE 214A
WAIPAHU
HI
967973396
Practice Location Phone/Fax
| Phone: | 8089442882 |
| Fax: |
Provider Mailing Location
91-3598 NANA HOPE ST UNIT 910
EWA BEACH
HI
967066834
Provider Mailing Phone/Fax
| Phone: | 5626198559 |
| Fax: |