Individual
AMANDA MARIE MCGINNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1210 ARTESIAN ST, HONOLULU, HI 96826-1320
(808) 780-0014
Mailing address
PO BOX 22005, HONOLULU, HI 96823-2005
(808) 780-0014
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
106S00000X
HI
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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