Lori Diane Bothwell

NPI #1225755275 in Keaau, Hawaii

Provider Information

NPI Number
1225755275
Entity Type
Individual
Name
Lori Diane Bothwell
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Oct 20, 2022
Last Updated
Oct 20, 2022

Practice Location

Address
16-590 KEAAU PAHOA RD # HALEF
City
Keaau
State
Hawaii
ZIP Code
96749-8105
Phone
(808) 982-4252

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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