Organization
ALISSA KATADA ABA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISSA KATADA MED, BCBA, LBA (OWNER, CEO, BCBA)
(808) 386-7122
Entity
Organization
Contact information
Practice address
7002 HAWAII KAI DR APT 1911, HONOLULU, HI 96825-4209
(808) 386-7122
Mailing address
7002 HAWAII KAI DR APT 1911, HONOLULU, HI 96825-4209
(808) 386-7122
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720743636
INDIVIDUAL
HI
Enumeration date
12/21/2021
Last updated
12/21/2021
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