Individual
KAYA FORDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
705 KIKANAI LOOP, HONOLULU, HI 96818-4436
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1333362
HI
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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