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Individual

CAROLINE MATTIE HOLDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
91-679 FORT WEAVER RD, EWA BEACH, HI 96706
(808) 647-6242
Mailing address
92-1129 PANANA ST APT 803, KAPOLEI, HI 96707-3735

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-547272
HI

Other

Enumeration date
06/22/2026
Last updated
06/22/2026
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