IndividualActive
Jade Gandolph
NPI 1043902703 · Behavior Technician · Haleiwa, HI
Provider details
- NPI number
- 1043902703
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
58-130 Kamehameha Hwy
Haleiwa, HI 96712-9714
Phone: (480) 987-2053
Approximate (ZIP-level) locationGet directions
Mailing address
58-130 Kamehameha Hwy
Haleiwa, HI 96712-9714
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2023-05-22
- Certified
- 2023-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.