Individual
TAIRITA BROWN WAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-849 LUMIAINA ST UNIT 201, WAIPAHU, HI 96797-5677
(855) 223-7123
Mailing address
16782 VON KARMAN AVE STE 11, IRVINE, CA 92606-2417
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32556
HI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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