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MANA GRACE BECK

Individual Provider (NPI-1) Active

Behavior Technician

Provider Information

NPI Number
1912640301
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
91-1180 MIDWAY RD, KAPOLEI, HI, 96707
Phone
(808) 682-5496

Specialties & Taxonomies

Behavior Technician Primary License: HI

All Addresses

MAILING

836B 11TH AVE

HONOLULU, HI, 968166410

LOCATION

91-1180 MIDWAY RD

KAPOLEI, HI, 96707

(808) 682-5496