Individual
LILLIAN BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
553 WAINEE ST, LAHAINA, HI 96761-1109
(808) 446-4561
Mailing address
1120 EHA ST APT 105, WAILUKU, HI 96793-2089
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208656
HI
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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