Individual
KIMBERLY LANI MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 S WAKEA AVE, KAHULUI, HI 96732
(808) 244-7467
Mailing address
161 S WAKEA AVE, KAHULUI, HI 96732-1343
(808) 244-7467
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-32027
HI
Other
Enumeration date
09/05/2017
Last updated
07/21/2022
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