Individual
SIERRA BARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
69 RAILROAD AVE STE A3, HILO, HI 96720-4574
(808) 935-7949
Mailing address
69 RAILROAD AVE STE A3, HILO, HI 96720-4574
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222108839
DRIVERS LICENSE
UT
Enumeration date
05/13/2022
Last updated
05/13/2022
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