Individual
MR. CHRISTOPHER CUSENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1221 KA UKA BLVD, UNIT 108, WAIPAHU, HI 96797
(808) 292-7968
Mailing address
94-249 WAIKELE RD APT D122, WAIPAHU, HI 96797-2632
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB888099
HI
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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