Whalio Doctors

NPI 1073765764

Angela Carlson Broff, MSCP

Practitioner Behavior Analyst Kailua, HI

Practice location

Address
111 Hekili St STE a #406, Kailua, HI 96734
Phone
(808) 489-3548
Fax
(808) 443-0708
Mailing address
111 Hekili St STE A406, Kailua, HI 96734-2800

Registered specialties (2)

Behavior Analyst Primary
Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence BA-24 (HI)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Registry record

NPI
1073765764
Entity type
Individual
Sex (as registered)
Female
NPI issued
14 Oct 2008
Record last updated
17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.