Individual
SADIE GO
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
94-232 PUPUKAHI ST, WAIPAHU, HI 96797-2606
(808) 445-0576
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-145832
HI
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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