Jessie Gonsalves

NPI #1386132405 in Hilo, Hawaii

Provider Information

NPI Number: 1386132405
Entity Type: Individual
Name: Jessie Gonsalves
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 24, 2018
Last Updated: Apr 24, 2018

Practice Location

Address: 1221 KILAUEA AVE STE 60
City: Hilo
State: Hawaii
ZIP Code: 96720-4264
Phone: (808) 969-9622

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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