Individual
REBECCA LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
104 KIHAPAI ST APT 601, KAILUA, HI 96734-6102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-325237
HI
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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