Individual
DEBORA BATISTA DE MAGALHAES SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
5550 KALANIANAOLE HWY, HONOLULU, HI 96821-2048
(310) 866-8670
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-313028
HI
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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