Individual
CRYSTAL THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2680 WAI WAI PL, KIHEI, HI 96753-8178
(808) 575-2954
(808) 874-8192
Mailing address
21 LOPAKA PL, KULA, HI 96790-8514
(808) 205-3145
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/12/2019
Last updated
11/21/2023
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