| Pakolea Support Services | |
|
1895 Haleukana St Lihue HI 96766-9072 | |
| (808) 346-6690 | |
| (888) 841-0904 |
| Full Name | Pakolea Support Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1895 Haleukana St, Lihue, Hawaii |
| Authorized Official Name and Position | La Reina M Kamalani (ADMIN OF CLINICAL OP/CO FOUNDER) |
| Authorized Official Contact | 8083466690 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pakolea Support Services 4151 Momi St Kilauea HI 96754-5312 Ph: (808) 639-5896 | Pakolea Support Services 1895 Haleukana St Lihue HI 96766-9072 Ph: (808) 346-6690 |
| NPI Number | 1770183980 |
|---|---|
| Provider Enumeration Date | 10/27/2020 |
| Last Update Date | 01/19/2022 |
| Certification Date | 01/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770183980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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