Individual
EDIE M SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIORAL THERAPIST
Contact information
Practice address
2752 WOODLAWN DR STE 5-202, HONOLULU, HI 96822-1855
(800) 273-4292
(888) 293-3374
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(808) 273-4292
(888) 293-3374
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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