Individual
AMY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
335 S PAPA AVE, KAHULUI, HI 96732-1528
(517) 599-9319
Mailing address
235 AUOLI DR # A, MAKAWAO, HI 96768-9315
(517) 599-9319
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA-700
HI
Other
Enumeration date
10/06/2017
Last updated
11/18/2023
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