Individual
NYOATHIA S PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 944-2882
Mailing address
91-1532 HAPAIKO ST, EWA BEACH, HI 96706-4419
(808) 376-6876
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
15-04350
HI
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
01/02/2018
Last updated
10/04/2023
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