Organization
OHANA MUA BEHAVIORAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANI G NIKOLOVA PHD (EXECUTIVE DIRECTOR)
(808) 762-9785
Entity
Organization
Contact information
Practice address
590 FARRINGTON HWY UNIT 524-226, KAPOLEI, HI 96707-2009
(808) 762-9785
(808) 441-7729
Mailing address
590 FARRINGTON HWY UNIT 524-226, KAPOLEI, HI 96707-2009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
185
HI
Other
Enumeration date
08/09/2018
Last updated
02/28/2020
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