| Vitality Aba Llc | |
|
95-390 Kuahelani Ave Ste 3ac-5140 Mililani HI 96789-1192 | |
| (801) 810-8346 | |
| Not Available |
| Full Name | Vitality Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 95-390 Kuahelani Ave Ste 3ac-5140, Mililani, Hawaii |
| Authorized Official Name and Position | Rachel Lynn Boehmert (BCBA) |
| Authorized Official Contact | 8018108346 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vitality Aba Llc 95-390 Kuahelani Ave Ste 3ac-5140 Mililani HI 96789-1192 Ph: (801) 810-8346 | Vitality Aba Llc 95-390 Kuahelani Ave Ste 3ac-5140 Mililani HI 96789-1192 Ph: (801) 810-8346 |
| NPI Number | 1265134563 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 04/01/2023 |
| Certification Date | 04/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265134563 | NPI | - | NPPES |
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