Individual
MS. STEPHANIE MARIE RAKOCZY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA CHILD PSYCHOLOY
Contact information
Practice address
123 MAIN ST, HONOLULU, HI 96818-5722
(661) 361-0736
Mailing address
123 MAIN ST, HONOLULU, HI 96818-5722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
H01626364
HI
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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