Individual
MRS. BIANCA SOPHIA ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
78 ALIILANI PL, KIHEI, HI 96753-9033
(808) 250-8870
Mailing address
78 ALIILANI PL, KIHEI, HI 96753-9033
(808) 250-8870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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