Individual
KYLE OLIVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
95-350 MAHAPILI CT APT 146, MILILANI, HI 96789-1444
(808) 897-0514
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-410766
HI
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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