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Individual

KATELYN PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RBT

Contact information

Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
1970 HANALIMA ST APT K201, LIHUE, HI 96766-8933
(774) 404-0121

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
106S00000X
Behavior Technician
Primary
RBT-18-72689
MA

Other

Enumeration date
07/04/2017
Last updated
12/03/2022
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