Individual
JANA AULANI REDAUS PURDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3784 MAPUANA PL, PRINCEVILLE, HI 96722-5344
(808) 292-7968
Mailing address
94-562 LAENUI ST, WAIPAHU, HI 96797-3844
(808) 391-4341
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-288021
HI
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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