Individual
KELLYJEAN CARIAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1253 S BERETANIA ST STE 2710, HONOLULU, HI 96814-1822
(412) 582-0296
Mailing address
1253 S BERETANIA ST STE 2710, HONOLULU, HI 96814-1822
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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