Individual
CHERYL EBISUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95-1091 AUINA ST, MILILANI, HI 96789
(808) 478-7633
Mailing address
95-1091 AUINA ST, MILILANI, HI 96789
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-87
HI
Other
Enumeration date
02/06/2013
Last updated
04/11/2023
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