Individual
MISS RAVEN ANGELICA SUMANG CAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA PSYCHOLOGY
Contact information
Practice address
502 KEAWE ST APT 541, HONOLULU, HI 96813-3163
(808) 683-9210
Mailing address
502 KEAWE ST APT 541, HONOLULU, HI 96813-3163
(808) 683-9210
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
RBT-22-207259
HI
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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