Individual
ALEXANDRA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
5687 SHIMOGAWA LN, WAHIAWA, HI 96786-4741
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-220180
HI
Other
Enumeration date
11/14/2022
Last updated
11/21/2022
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