Individual
MAILE NICOLE SUEKO KIMURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, BCBA, LBA
Contact information
Practice address
100 KAHELU AVE STE 110, MILILANI, HI 96789-3913
(808) 625-3000
(808) 625-3006
Mailing address
100 KAHELU AVE STE 110, MILILANI, HI 96789-3913
(808) 625-3000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46743
HI
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
10/02/2013
Last updated
03/22/2021
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