Individual
ALISHA SAKO-LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16-566 KEAAU PAHOA RD # 188-111, KEAAU, HI 96749-8137
(310) 869-0030
Mailing address
15-2727 HEEPALI ST, PAHOA, HI 96778-9520
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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