Individual
EKATERINA KAPOUSTINA
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
50 MAILE ST # 39, HILO, HI 96720-4374
(808) 498-6184
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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