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Individual

STEPHANY QUEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
94-1221 KA UKA BLVD, WAIPAHU, HI 96797-6202
(808) 720-7107
Mailing address
PO BOX 17171, HONOLULU, HI 96817-0171

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-163750
HI

Other

Enumeration date
04/12/2021
Last updated
02/06/2023
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