Individual
AMEYO FLORABELLE AGNISSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 CARPENTER ST, WAHIAWA, HI 96786
(808) 305-1800
(808) 624-9505
Mailing address
95-246 AUHAELE LOOP, MILILANI, HI 96789-1205
(808) 352-1039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-89129
HI
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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