| Sharky Hearts Behavior Support Services Llc | |
|
74-5078 Kumakani St Kailua Kona HI 96740-1530 | |
| (808) 746-1779 | |
| Not Available |
| Full Name | Sharky Hearts Behavior Support Services Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 74-5078 Kumakani St, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Paige Stegeman (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 8087461779 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sharky Hearts Behavior Support Services Llc 74-5078 Kumakani St Kailua Kona HI 96740-1530 Ph: (808) 746-1779 | Sharky Hearts Behavior Support Services Llc 74-5078 Kumakani St Kailua Kona HI 96740-1530 Ph: (808) 746-1779 |
| NPI Number | 1659029726 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659029726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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