| Manawa Behavior Health Llc. | |
|
1129 Upper Kimo Dr Kula HI 96790-8076 | |
| (808) 740-1094 | |
| Not Available |
| Full Name | Manawa Behavior Health Llc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1129 Upper Kimo Dr, Kula, Hawaii |
| Authorized Official Name and Position | Edward D Keenan (BCBA /OWNER) |
| Authorized Official Contact | 8087401094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manawa Behavior Health Llc. 1129 Upper Kimo Dr Kula HI 96790-8076 Ph: (808) 740-1094 | Manawa Behavior Health Llc. 1129 Upper Kimo Dr Kula HI 96790-8076 Ph: (808) 740-1094 |
| NPI Number | 1437804937 |
|---|---|
| Provider Enumeration Date | 02/14/2022 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437804937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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