Individual
JIANE NICOLE BAGOYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1037 MATZIE LN, HONOLULU, HI 96817-2826
(808) 675-1158
Mailing address
1037 MATZIE LN, HONOLULU, HI 96817-2826
(808) 675-1158
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
SLP.0006525
CO
Other
Enumeration date
10/17/2020
Last updated
07/29/2025
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