| Amazing Behaving Llc | |
|
417 Kaimake Loop Kailua HI 96734-2021 | |
| (808) 295-2453 | |
| Not Available |
| Full Name | Amazing Behaving Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 417 Kaimake Loop, Kailua, Hawaii |
| Authorized Official Name and Position | Joshua H Fouts (DIRECTOR) |
| Authorized Official Contact | 8082952453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Behaving Llc Po Box 342012 Kailua HI 96734-8996 Ph: () - | Amazing Behaving Llc 417 Kaimake Loop Kailua HI 96734-2021 Ph: (808) 295-2453 |
| NPI Number | 1043599350 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 08/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043599350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-09-5745 (Hawaii) | Primary |
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