Individual
MRS. FAAAE THERESA ROBANAKADAVU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
4697 KOU LN, HONOLULU, HI 96818-4171
(435) 695-6009
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/18/2021
Last updated
11/16/2022
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