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Cassandra Balmoja

Behavior Technician in Lahaina, HI. Individual provider (NPI-1).

NPI number1275200230
StatusActive
Last updated in NPPESAug 26, 2021

Details

NPI
1275200230
Entity type
Individual (NPI-1)
Name
Cassandra Balmoja
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 26, 2021
Certification date
Aug 26, 2021
Last updated
Aug 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-21-182041HIYes

Practice location

553 Wainee St
Lahaina, HI 96761-1109

Phone 808-446-4561

Mailing address

55 Waiaka Ln Apt 201
Wailuku, HI 96793-2000

Phone 808-365-8808

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