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126 Aikahi Loop Kailua HI 96734-1642 | |
| (808) 425-0195 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 126 Aikahi Loop, Kailua, Hawaii |
| Authorized Official Name and Position | Nicole Johnson (CEO) |
| Authorized Official Contact | 8084250195 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
126 Aikahi Loop Kailua HI 96734-1642 Ph: (808) 425-0195 | 126 Aikahi Loop Kailua HI 96734-1642 Ph: (808) 425-0195 |
| NPI Number | 1356066344 |
|---|---|
| Provider Enumeration Date | 10/11/2022 |
| Last Update Date | 03/15/2023 |
| Certification Date | 03/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356066344 | NPI | - | NPPES |
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