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Individual

DR. AMANDA N KELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD, BCBA-D

Contact information

Practice address
66-434 KAMEHAMEHA HWY, HALEIWA, HI 96712-2414
(808) 277-7736
(808) 748-0202
Mailing address
59-033 HUELO ST, HALEIWA, HI 96712-9711
(808) 298-2658

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
01-08-4140

Other

Enumeration date
07/14/2013
Last updated
07/14/2013
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