| Sandwell Aba Llc | |
|
95-390 Kuahelani Ave Suite 3ac #1082 Mililani HI 96789-1190 | |
| (858) 247-1828 | |
| Not Available |
| Full Name | Sandwell Aba Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 95-390 Kuahelani Ave, Mililani, Hawaii |
| Authorized Official Name and Position | Melissa Sandwell (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8582471828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandwell Aba Llc 95-390 Kuahelani Ave Suite 3ac #1082 Mililani HI 96789-1190 Ph: () - | Sandwell Aba Llc 95-390 Kuahelani Ave Suite 3ac #1082 Mililani HI 96789-1190 Ph: (858) 247-1828 |
| NPI Number | 1538662804 |
|---|---|
| Provider Enumeration Date | 03/13/2018 |
| Last Update Date | 03/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538662804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | BA-136 (Hawaii) | Primary |
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