Individual
DEIDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-428 MOKUOLA ST STE 214A, WAIPAHU, HI 96797-3396
(808) 944-2882
Mailing address
466 KUANANA ST, PAIA, HI 96779-9619
(808) 446-4561
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
BACB1414117
HI
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
09/17/2025
Last updated
01/01/2026
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