Most Relevant Information
Provider Data
| NPI Number: | 1003597238 |
| Provider Name: | KUUIPO RICHARDSON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB971324 |
Most Important Dates
| Enumeration Date: | 07/31/2023 |
| Last Updated: | 07/31/2023 |
Provider Practice Location
1001 KAMOKILA BLVD STE 210
KAPOLEI
HI
967072096
Practice Location Phone/Fax
| Phone: | 8085916060 |
| Fax: |
Provider Mailing Location
1001 KAMOKILA BLVD STE 210
KAPOLEI
HI
967072096
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |