Most Relevant Information
Provider Data
NPI Number: | 1003513664 |
Provider Name: | KAHEALANI LIEDERBACH |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/13/2023 |
Last Updated: | 02/13/2023 |
Provider Practice Location
1917 COLBURN ST
HONOLULU
HI
968193248
Practice Location Phone/Fax
Phone: | 8083939826 |
Fax: |
Provider Mailing Location
1917 COLBURN ST
HONOLULU
HI
968193248
Provider Mailing Phone/Fax
Phone: | |
Fax: |