Individual
MACKENZIE NITTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-539 PUAHI ST, WAIPAHU, HI 96797-6200
(808) 591-6060
Mailing address
47-414 HUI KELU ST, KANEOHE, HI 96744-4600
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-2836686
HI
Other
Enumeration date
08/05/2026
Last updated
08/05/2026
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