Individual
BROCK WATANUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1221 KA UKA BLVD STE 108, WAIPAHU, HI 96797-6299
(808) 292-7969
Mailing address
227 OLIKO PL, WAHIAWA, HI 96786-2332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-33064
HI
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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