SAGE K K FANENE
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1942087978- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1001 KAMOKILA BLVD STE 210, KAPOLEI, HI, 967072096
- Phone
- (808) 591-6060
Specialties & Taxonomies
Behavior Technician
Primary License: HI #RBT-23-296043
All Addresses
MAILING
169 HAUOLA AVE
WAHIAWA, HI, 967862303