Individual
AMANDA A MCMAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 KINOOLE ST, HILO, HI 96720-2980
(402) 992-4934
Mailing address
301 KINOOLE ST, HILO, HI 96720-2980
(402) 992-4934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-154085
HI
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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