Individual
ANGELICA DANIELLE BURGHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 HULI RD, KILAUEA, HI 96754-5565
(808) 292-7968
Mailing address
91-434A EWA BEACH RD, EWA BEACH, HI 96706-2943
(808) 436-7519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1171659
HI
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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