Individual
KYLIE TERAMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LSW, BCBA, LBA
Contact information
Practice address
564 SOUTH ST, HONOLULU, HI 96813-5013
(808) 591-1174
Mailing address
564 SOUTH ST, HONOLULU, HI 96813-5013
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
BA-661
HI
103K00000X
Behavior Analyst
Primary
BA-661-0
HI
104100000X
Social Worker
Primary
LSW-2795
HI
106S00000X
Behavior Technician
RBT-17-42405
HI
Other
Enumeration date
10/14/2017
Last updated
04/09/2026
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