Individual
DIANE FAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. EDUCATION
Contact information
Practice address
2460 KIPUKA ST, KOLOA, HI 96756-9738
(401) 252-9163
Mailing address
2460 KIPUKA ST, KOLOA, HI 96756-9738
(401) 252-9163
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
315
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104847946
THE PROVIDENCE CENTER NPI
RI
01
—
1396981288
UBH
RI
Enumeration date
12/23/2008
Last updated
09/18/2023
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