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Organization
BEHAVIORZOID LLC
Active
Organization
BEHAVIORZOID LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON D WISDOM LMFT (OWNER)
(360) 470-2183
Entity
Organization
Contact information
Practice address
970 N KALAHEO AVE STE A212, KAILUA, HI 96734-1857
(360) 470-2183
Mailing address
98-501 KOAUKA LOOP APT A305, AIEA, HI 96701-5827
(360) 470-2183
(866) 635-1509
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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