Individual
KRISTIE MADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3-3367 KUHIO HWY, UNIT #211, LIHUE, HI 96766-1034
(808) 431-4655
Mailing address
3-3367 KUHIO HWY, UNIT #211, LIHUE, HI 96766-1034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT1624499
HI
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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