Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | HI |
NPI | 1003313867 |
---|---|
Provider Name | Nan Yumi Starling |
First Address | Ewa Beach, HI 96706-4809 |
Second Address | Waipahu, HI 96797-6299 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2018 |
Last Update Date | 09/04/2018 |