| Malama Pono Autism Center | |
|
100 Kahelu Ave Suite 102a Mililani HI 96789-3913 | |
| (719) 465-5003 | |
| (719) 465-5101 |
| Full Name | Malama Pono Autism Center |
|---|---|
| Speciality | Behavior Analyst |
| Location | 100 Kahelu Ave, Mililani, Hawaii |
| Authorized Official Name and Position | Brian K Duncan (CEO) |
| Authorized Official Contact | 7194655003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Malama Pono Autism Center 100 Kahelu Ave Suite 102a Mililani HI 96789-3913 Ph: (719) 465-5003 | Malama Pono Autism Center 100 Kahelu Ave Suite 102a Mililani HI 96789-3913 Ph: (719) 465-5003 |
| NPI Number | 1215376793 |
|---|---|
| Provider Enumeration Date | 06/18/2013 |
| Last Update Date | 06/18/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215376793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (Colorado) | Primary |
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