Individual
LATISHA ANN BALAI-PACHECO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 HAAHEO RD, HILO, HI 96720-2144
(808) 974-4111
Mailing address
480 WAIANUENUE AVE, HILO, HI 96720-2521
(808) 974-4401
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-21-159608
HI
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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