Individual
TRISTIN VENICE PASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
324 AULIKE ST, LAHAINA, HI 96761-1100
(715) 933-0609
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-208216
TX
Other
Enumeration date
11/15/2022
Last updated
01/19/2023
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