Jade Gandolph

NPI #1043902703 in Haleiwa, Hawaii

Provider Information

NPI Number: 1043902703
Entity Type: Individual
Name: Jade Gandolph
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 22, 2023
Last Updated: May 22, 2023

Practice Location

Address: 58-130 KAMEHAMEHA HWY
City: Haleiwa
State: Hawaii
ZIP Code: 96712-9714
Phone: (480) 987-2053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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