Individual
GLENN BARAYUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
(808) 944-2882
Mailing address
1902 HUINA ST, HONOLULU, HI 96817-2412
(808) 741-2817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-170582
HI
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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