Individual
CRYSTAL S. FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
94-1123 KA UKA BLVD APT B103, WAIPAHU, HI 96797-4469
(901) 496-3728
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA791
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/21/2021
Last updated
07/30/2023
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