Individual
KENDRICK NOEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-450 MOKUOLA ST, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
94-450 MOKUOLA STREET, WAIPAHU, HI 96797-1270
(808) 944-2882
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
517569
HI
106S00000X
Behavior Technician
Primary
RBT-19-95448
HI
106S00000X
Behavior Technician
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Other
Enumeration date
08/08/2019
Last updated
12/02/2022
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