Ernesto Fontanilla

NPI #1902621691 in Kahului, Hawaii

Provider Information

NPI Number: 1902621691
Entity Type: Individual
Name: Ernesto Fontanilla
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 427 ALA MAKANI ST
City: Kahului
State: Hawaii
ZIP Code: 96732-3571
Phone: (808) 204-2893

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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