Individual
MS. KIERSTEN LEEANNA MATTHEWS
Active
Sole proprietor
Yes
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
150 HAMAKUA DR # 326, KAILUA, HI 96734-2825
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
08/27/2019
Last updated
11/08/2023
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