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Organization
BEHAVIOR SERVICE OF HAWAII, LLC
Active
Organization
BEHAVIOR SERVICE OF HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA MARIE TATEKAWA SLP, BCBA (OWNER)
(808) 778-6715
Entity
Organization
Contact information
Practice address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 778-6715
Mailing address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 778-6715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1084054
HI
235Z00000X
Speech-Language Pathologist
Primary
SP 1016
HI
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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