Individual
KATELYN MUNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-820 MOANALUA RD, AIEA, HI 96701-5200
(808) 845-6080
Mailing address
98-820 MOANALUA RD, AIEA, HI 96701-5200
(808) 845-6080
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-23-315287
HI
106S00000X
Behavior Technician
Primary
—
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/11/2023
Last updated
10/21/2024
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