Individual
KEVIN HAMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(757) 994-8660
Mailing address
GENERAL DELIVERY, KURTISTOWN, HI 96760-9999
(509) 723-8567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-252449
HI
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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