Individual
EBSANG TAIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
ATTN: BEHAVIORAL HEALTH WORKS, 500 ALA MOANA BLVD., HONOLULU, HI 96813-9681
(800) 249-1266
Mailing address
1301 E ORANGEWOOD AVE, ANAHEIM, CA 92805-6807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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