Individual
SANDY HAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 635-1650
Mailing address
475 22ND AVE RM 127, HONOLULU, HI 96816-4400
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/06/2023
Last updated
12/15/2023
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