Individual
KYRA-DENISE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1847 S KIHEI RD, KIHEI, HI 96753-7939
(808) 879-4111
(808) 879-4118
Mailing address
553A MIKIOI PL, KIHEI, HI 96753-9458
(541) 708-1768
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-21309
HI
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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