Individual
LAIE TAPUSOA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45-513A LIKELIKE HWY, KANEOHE, HI 96744-2946
(913) 207-2226
Mailing address
45-513A LIKELIKE HWY, KANEOHE, HI 96744-2946
(913) 207-2226
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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