GENESIS KT AMANONCE-ENOS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1669392650- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 84-688 ALA MAHIKU ST APT 162A, WAIANAE, HI, 967921628
- Phone
- (808) 498-9138
Specialties & Taxonomies
Behavior Technician
Primary License: HI