Individual
KELSEA CASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
58-019 MAIKA PL, HALEIWA, HI 96712-9739
(808) 351-4152
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-118268
HI
Other
Enumeration date
03/09/2020
Last updated
11/28/2022
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