Individual
ALEXIS KISHIMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98-820 MOANALUA RD SPC 5, AIEA, HI 96701-5200
(808) 721-6476
Mailing address
98-820 MOANALUA RD SPC 5, AIEA, HI 96701-5200
(808) 721-6476
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/19/2019
Last updated
12/11/2023
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