Individual
BEVELYN AKPENE KRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 892-2900
Mailing address
6516 EKAHA ST, WAHIAWA, HI 96786-4304
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-217391
HI
106S00000X
Behavior Technician
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Other
Enumeration date
08/10/2022
Last updated
11/23/2022
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