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LAILENE EVELYN VISORIA AGBISIT

Individual Provider (NPI-1) Active

Behavior Technician

Provider Information

NPI Number
1740821313
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
4510 SALT LAKE BLVD, HONOLULU, HI, 968183153
Phone
(808) 486-1804

Specialties & Taxonomies

Behavior Technician Primary

All Addresses

MAILING

94-1072 LUMIAINA ST

WAIPAHU, HI, 967973914

(808) 690-4619

LOCATION

4510 SALT LAKE BLVD

HONOLULU, HI, 968183153

(808) 486-1804