Individual
ALICIA MCKENDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16-556 KEA'AU PAHOA RD 188-11, KEAAU, HI 96749-8137
(808) 294-3022
Mailing address
16-566 KEAAU PAHOA RD # 188-111, KEAAU, HI 96749-8137
(815) 922-8461
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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