Individual
HAILEY SHAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD STE 106, #167, WAIPAHU, HI 96797-6299
(903) 819-3460
Mailing address
91-1167 HAMANA ST, EWA BEACH, HI 96706-3946
(808) 729-1487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-81353
HI
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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