Individual
KETTER A TUBBS-ISHIBASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
234 WAIANUENUE AVE, HILO, HI 96720-2418
(808) 935-7949
Mailing address
HCR 2 6964, KEAAU, HI 96749
(808) 896-7209
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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