Individual
KRISTA NICOLE FARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
45-955 KAMEHAMEHA HWY # 404-405, KANEOHE, HI 96744-3222
(808) 247-2973
(808) 427-3472
Mailing address
45-637 HALEKOU RD, KANEOHE, HI 96744-1715
(760) 449-6552
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
TRI-CARE
—
Enumeration date
11/30/2018
Last updated
11/30/2018
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