Individual
SOPHIA MALIA SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, MFT INTERN
Contact information
Practice address
2155 KALAKAUA AVE STE 701, HONOLULU, HI 96815-2341
(808) 501-2362
Mailing address
95-035 KIPAPA DR, MILILANI, HI 96789-1048
(808) 492-3766
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
HI
Other
Enumeration date
05/07/2019
Last updated
04/07/2026
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