Individual
LIANNA AILI BEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99-1410 HALAWA HEIGHTS RD, AIEA, HI 96701-3115
(808) 681-2718
Mailing address
1212 RICHARD LN UNIT 0-I, HONOLULU, HI 96819-4567
(425) 777-1121
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-248927
HI
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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