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Behavior Service Of Hawaii, LLC

Speech-Language Pathologist, in Mililani, HI. Organization (NPI-2).

NPI number1154650737
StatusActive
Last updated in NPPESDec 10, 2009

Details

NPI
1154650737
Entity type
Organization (NPI-2)
Legal business name
Behavior Service Of Hawaii, LLC
Organization subpart
No
Enumeration date
Dec 10, 2009
Last updated
Dec 10, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SP 1016HIYes
103K00000X Behavior Analyst1084054HI

Practice location

95-732 Maiaku St
Mililani, HI 96789-2816

Phone 808-778-6715

Mailing address

95-732 Maiaku St
Mililani, HI 96789-2816

Phone 808-778-6715

Authorized official

Brianna Marie Tatekawa
Owner
8087786715

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