Individual
ATHENA KAHOA OLDFATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47-4588 WAIPIO RD, HONOKAA, HI 96727-7100
(808) 756-2168
Mailing address
47-4588 WAIPIO RD, HONOKAA, HI 96727-7100
(808) 756-2168
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-21351
HI
Other
Enumeration date
08/27/2015
Last updated
11/05/2017
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