Individual
MR. JOHN TAKAMI MORITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1640 AHIHI ST, HONOLULU, HI 96819-3773
(808) 845-8003
Mailing address
1640 AHIHI ST, HONOLULU, HI 96819-3773
(808) 845-8003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
106S00000X
HI
106S00000X
Behavior Technician
Primary
RBT-21-181024
HI
171M00000X
Case Manager/Care Coordinator
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Other
Enumeration date
02/03/2009
Last updated
06/08/2023
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