Individual
AMANDA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 292-7968
Mailing address
2755 KAPIOLANI BLVD APT 14, HONOLULU, HI 96826-4866
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-86091
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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