Individual
KYLE ANTHONY SOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-428 MOKUHA ST., STE 214A, WAIPAHU, HI 96797
(808) 944-2882
Mailing address
1936 SEQUOIA DR, HANOVER PARK, IL 60133-3981
(630) 607-9664
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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