Individual
LINDA MARIE KONVIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
427 ALA MAKANI ST STE 200, KAHULUI, HI 96732-3507
(808) 244-6879
Mailing address
400 ALA MAKANI ST, KAHULUI, HI 96732-3533
(808) 877-1502
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-21-11807
HI
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
820185
—
HI
Enumeration date
07/14/2019
Last updated
03/29/2021
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