Healthcare Provider Details

I. General information

NPI: 1013509058
Provider Name (Legal Business Name): GABRIELLA CIOTTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 02/10/2021
Certification Date: 02/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1390 MILLER ST
HONOLULU HI
96813-2493
US

IV. Provider business mailing address

416 KUAMOO ST APT 401
HONOLULU HI
96815-2050
US

V. Phone/Fax

Practice location:
  • Phone: 808-586-3230
  • Fax:
Mailing address:
  • Phone: 609-760-2554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: