Individual
OLIVIA DERREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 586-3230
Mailing address
PO BOX 1942, HILO, HI 96721-1942
(808) 767-3990
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
02/13/2025
Last updated
03/18/2025
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