Most Relevant Information
Provider Data
| NPI Number: | 1003698754 |
| Provider Name: | COLTON CHARLIE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/17/2023 |
| Last Updated: | 10/17/2023 |
Provider Practice Location
100 KAHELU AVE STE 110
MILILANI
HI
967893913
Practice Location Phone/Fax
| Phone: | 8086253000 |
| Fax: |
Provider Mailing Location
100 KAHELU AVE STE 110
MILILANI
HI
967893913
Provider Mailing Phone/Fax
| Phone: | 8086253000 |
| Fax: |