Individual
LINA THERESE SARUSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-849 LUMIAINA ST UNIT 201, WAIPAHU, HI 96797-5677
(855) 223-7123
Mailing address
PO BOX 3356, SAN DIEGO, CA 92163-1356
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69253
HI
106S00000X
Behavior Technician
RBT-18-68868
HI
Other
Enumeration date
10/24/2018
Last updated
12/04/2023
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