Individual
JUSTIN ELLIOTT DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1001 KAMOKILA BLVD STE 210, KAPOLEI, HI 96707-2096
(808) 591-6060
Mailing address
92-1018 LUAWAINUI ST, KAPOLEI, HI 96707-2834
(808) 202-6246
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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