Individual
BETTINA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-1221 KA UKA BLVD STE 108, WAIPAHU, HI 96797-6299
(808) 773-2792
Mailing address
47-746 HUI KELU ST APT 3, KANEOHE, HI 96744-4583
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-57799
HI
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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