Crystal Gonnelly

NPI #1215401062 in Kihei, Hawaii

Provider Information

NPI Number: 1215401062
Entity Type: Individual
Name: Crystal Gonnelly
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 15, 2019
Last Updated: Jan 15, 2019

Practice Location

Address: 2680 WAI WAI PL
City: Kihei
State: Hawaii
ZIP Code: 96753-8178
Phone: (808) 575-2954

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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