Individual
STEPHANIE TERAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4510 SALT LAKE BLVD STE D8, HONOLULU, HI 96818-3172
(808) 486-1804
Mailing address
4300 WAIALAE AVE APT B101, HONOLULU, HI 96816-5749
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-35486
HI
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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