Individual
RACHEL FORMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HUALANI ST APT 374, HILO, HI 96720-6413
(305) 586-6232
Mailing address
400 HUALANI ST APT 374, HILO, HI 96720-6413
(305) 586-6232
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154837
HI
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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