Individual
ABIGAIL CATHERINE MINNICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4788 E ELUA WAY APT D, EWA BEACH, HI 96706-3008
(808) 674-6641
Mailing address
550 KUNEHI ST APT 206, KAPOLEI, HI 96707-2069
(808) 674-6641
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-244446
HI
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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