Individual
MRS. MICAH GUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
91-1219 KANEANA ST APT 15F, EWA BEACH, HI 96706-3785
(559) 473-5084
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-252912
HI
Other
Enumeration date
12/21/2022
Last updated
01/12/2023
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