Individual
SAGE ANGELA HUPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
1520 ENOS LN APT A, HONOLULU, HI 96822-4514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
1-07-3468
HI
106S00000X
Behavior Technician
21-161269
HI
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
02/10/2022
Last updated
08/11/2023
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