Individual
KYLALEE BELLAVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
1330 QUAIL LAKE LOOP STE 120, COLORADO SPRINGS, CO 80906-4651
(719) 540-2108
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-191065
HI
106S00000X
Behavior Technician
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Other
Enumeration date
10/27/2021
Last updated
05/11/2023
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