Individual
BRYSON ELLEGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3-3122 KUHIO HWY, LIHUE, HI 96766-1147
(808) 246-8609
Mailing address
3-3122 KUHIO HWY, LIHUE, HI 96766-1147
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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