Individual
TIANA SOARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 HEKILI ST STE A406, KAILUA, HI 96734-2800
(808) 489-3548
(808) 443-0708
Mailing address
25 KANEOHE BAY DR UNIT 211212, KAILUA, HI 96734-1727
(808) 388-1683
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69665
HI
106S00000X
Behavior Technician
RBT-15-10366
—
Other
Enumeration date
12/21/2017
Last updated
11/20/2023
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