Individual
AMY MAHLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1259 S BERETANIA ST, SUITE 4, HONOLULU, HI 96814-1823
(808) 591-1173
(808) 591-1174
Mailing address
1259 S BERETANIA ST, SUITE 4, HONOLULU, HI 96814-1823
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA1-10-7927
—
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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