Nicole Bulacan

NPI #1619691532 in Volcano, Hawaii

Provider Information

NPI Number: 1619691532
Entity Type: Individual
Name: Nicole Bulacan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 4, 2022
Last Updated: Oct 4, 2022

Practice Location

Address: 11-3219 ALAULA ST.
City: Volcano
State: Hawaii
ZIP Code: 96785
Phone: (808) 492-6149

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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