Individual
AMBER KATRINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
25 KANEOHE BAY DR UNIT 211212, KAILUA, HI 96734-1727
(808) 388-1683
Mailing address
539 KALOLINA ST, KAILUA, HI 96734-2048
(334) 447-8965
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BA248
HAWAII STATE LICENSE
HI
Enumeration date
01/27/2017
Last updated
06/27/2024
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