Individual
KRISTIN SUBICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 COUNTRY CLUB DR, HILO, HI 96720-1319
(877) 584-6227
Mailing address
7192 KALANIANAOLE HWY STE A143A, HONOLULU, HI 96825-1849
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-123438
HI
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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