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Organization
MAU LOA LEARNING
Active
Organization
MAU LOA LEARNING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILLY ATWELL (CLINICAL MANAGER)
(808) 892-4059
Entity
Organization
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
1604 PERRY ST, HONOLULU, HI 96819-3628
(808) 368-9378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NULL
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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