Individual
KELLEY QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1520 LILIHA ST STE 406, HONOLULU, HI 96817-3564
(714) 584-9889
Mailing address
1520 LILIHA ST STE 406, HONOLULU, HI 96817-3564
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-1017-0
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/12/2022
Last updated
03/09/2026
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