Felicidy Phimmasone

NPI #1003525494 in Aiea, Hawaii

Provider Information

NPI Number: 1003525494
Entity Type: Individual
Name: Felicidy Phimmasone
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 15, 2022
Last Updated: Nov 15, 2022

Practice Location

Address: 98-939 MOANALUA RD
City: Aiea
State: Hawaii
ZIP Code: 96701-5012
Phone: (855) 223-7123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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