Individual
MADELAINE SARAH CRISTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91-1159 KAMAKANA ST, EWA BEACH, HI 96706-2022
(808) 721-8386
Mailing address
94-997 HANAUNA ST APT 105G, WAIPAHU, HI 96797-4739
(724) 766-8845
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-379610
HI
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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