Individual
KRISTY KEIKO HIGASHIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
98-820 MOANALUA RD, AIEA, HI 96701-5200
(808) 845-6080
Mailing address
1941 CHURCH LN APT 410, HONOLULU, HI 96826-3512
(808) 772-2667
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-347587
HI
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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