Most Relevant Information
Provider Data
| NPI Number: | 1003343716 |
| Provider Name: | KIMBERLY BALORAN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-17-33746 |
Most Important Dates
| Enumeration Date: | 05/12/2017 |
| Last Updated: | 05/12/2017 |
Provider Practice Location
99-870 IWAENA ST # 101
AIEA
HI
967013278
Practice Location Phone/Fax
| Phone: | 8082777736 |
| Fax: |
Provider Mailing Location
99-870 IWAENA ST # 101
AIEA
HI
967013278
Provider Mailing Phone/Fax
| Phone: | 8082777736 |
| Fax: |