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Individual

KIMBERLY HIRAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
550 KUNEHI ST APT 205, KAPOLEI, HI 96707-2069
(808) 780-0014
Mailing address
1493 HUMUULA ST, KAILUA, HI 96734-3710

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RBT-17-37708
REGISTERED BEHAVIOR TECHNICIAN
HI
Enumeration date
08/03/2017
Last updated
08/03/2017
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