Individual
BRYNN ALYSE HOLDERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 586-3230
Mailing address
3044 LAKIMAU ST APT A, HONOLULU, HI 96815-4200
(623) 203-6407
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
D09380886
AZ
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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