Organization
AUTISM SERVICES KAUAI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA E GAMBY PH.D. (MEMBER)
(808) 821-2027
Entity
Organization
Contact information
Practice address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
18088212027
(808) 821-2028
Mailing address
4-1558 KUHIO HWY, KAPAA, HI 96746-1856
18088212027
(808) 821-2028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BA-93
HI
103T00000X
Psychologist
Primary
PSY-873
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55958601
—
HI
Enumeration date
07/17/2017
Last updated
07/17/2017
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