Individual
MIKAELA BLANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1367 S KIHEI RD 3202, KIHEI, HI 96753
(808) 446-2712
Mailing address
1367 S KIHEI ROAD 3-203, KIHEI, HI 96753
(808) 446-2712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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