Individual
PATRICIA CAROL MYBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
270 WAIEHU BEACH RD # 1472, WAILUKU, HI 96793-1472
(808) 242-7294
Mailing address
19 KUINEHE PL, MAKAWAO, HI 96768-8285
(808) 269-4527
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-309996
HI
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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