Individual
SARAH ANNE HASETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. ED, RBT
Contact information
Practice address
92-1126 OLANI ST APT 1, KAPOLEI, HI 96707-4227
(631) 235-2900
Mailing address
92-1126 OLANI ST APT 1, KAPOLEI, HI 96707-4227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-15-04461
HI
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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