Tyra Du Bose

NPI 1285187971 · on the registry since 2016 · sole proprietor

Practice

Address: 555 Fraser Ave
Lanai City, HI 96763
Phone: (808) 649-0869
Organisation at this address: Dept. Of Health-Hawaii-Child And Adolescent Mental Health Division
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Behavior Analyst
103K00000X
Licence states on file: HI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Hawaii