Individual
MS. ARDIS FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
65 MAKAENA PLACE, KAUNAKAKAI, HI 96748
(808) 355-1723
Mailing address
PO BOX 470, KAUNAKAKAI, HI 96748-0470
(808) 553-1723
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-169546
HI
Other
Enumeration date
12/09/2022
Last updated
12/13/2022
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