Individual
MARIBEL ACIDERA MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 QUEEN ST STE 100, HONOLULU, HI 96814-4130
(808) 451-2220
Mailing address
94-283 KAHUANANI STREET B, WAIPAHU, HI 96797-3528
(808) 364-2559
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000287473
—
HI
Enumeration date
12/09/2019
Last updated
12/09/2019
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