Individual
TIFFANY TEOFILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
94-801 KIME ST, WAIPAHU, HI 96797-1292
(808) 342-7950
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
08/10/2023
Last updated
12/16/2025
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