Fuller, Ebony Dawn Mary

Fuller, Ebony Dawn Mary is an individual health care provider with primary practice located at 41-611 Inoaole St , Waimanalo HI 96795-1211. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fuller, Ebony Dawn Mary can be contacted via phone (808) 892-4059.

Contact Information

Primary practice address
41-611 Inoaole St Waimanalo HI 96795-1211
Phone: (808) 892-4059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-16-24833 Hawaii

Profile Details

NPI number 1841706629
LBN Legal business name Fuller, Ebony Dawn Mary
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2017
Last updated Mar 17th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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