Individual
AMI PHILLIPS
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
98-904 IHO PL APT D, AIEA, HI 96701-2619
(267) 979-4535
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-283516
HI
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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