Individual
KRISTIN CABEBE-FARIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1184 NEAL AVE, WAHIAWA, HI 96786-2144
(808) 457-6608
Mailing address
1184 NEAL AVE, WAHIAWA, HI 96786-2144
(808) 457-6608
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XLQ0001300536
—
HI
Enumeration date
07/16/2021
Last updated
07/16/2021
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