Individual
HAILEY STASZKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 KALANIANAOLE HWY, #5001, KAILUA, HI 96734
(808) 247-2973
Mailing address
1271 KEATS ST, MANHATTAN BEACH, CA 90266-6811
(310) 922-1371
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/04/2023
Last updated
12/30/2024
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