Ericson, Melody

Ericson, Melody is an individual health care provider with primary practice located at 203 Kapaa Quarry Pl #5002 , Kailua HI 96734. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Ericson, Melody can be contacted via phone (808) 247-2973.

Contact Information

Primary practice address
203 Kapaa Quarry Pl #5002 Kailua HI 96734
Phone: (808) 247-2973
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Hawaii
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BA-430 Hawaii

Profile Details

NPI number 1255840393
LBN Legal business name Ericson, Melody
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Jul 21st, 2022 - about 2 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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