Individual
ANDREA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 PEPEEKEO ST, HONOLULU, HI 96825-1199
(808) 397-5822
Mailing address
2826 POELUA ST, HONOLULU, HI 96822-1310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-137649
HI
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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