Individual
RYLEE WIEDIGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 KINOOLE ST, HILO, HI 96720-2980
(808) 664-4401
Mailing address
50 MAILE ST APT A2, HILO, HI 96720-4337
(808) 854-5704
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-24-364894
HI
103K00000X
Behavior Analyst
—
HI
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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