Individual
CARYS LAINE POTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1786 KINOOLE ST, HILO, HI 96720-5245
(808) 959-5855
Mailing address
HC 1 BOX 4138, KEAAU, HI 96749-9709
(808) 746-1355
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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