Tara Rose Botelho

NPI #1013891894 in Kaneohe, Hawaii

Provider Information

NPI Number: 1013891894
Entity Type: Individual
Name: Tara Rose Botelho
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Aug 4, 2025
Last Updated: Aug 4, 2025

Practice Location

Address: 45-130 MAHALANI CIR
City: Kaneohe
State: Hawaii
ZIP Code: 96744-2718
Phone: (808) 728-5546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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