Individual
NATHALIE AGBAYANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92-6050 NEMO ST, KAPOLEI, HI 96707-2813
(808) 457-2162
Mailing address
92-6050 NEMO ST, KAPOLEI, HI 96707-2813
(808) 457-2162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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