Organization
BEHAVIOR SERVICE OF HAWAII, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANNA MARIE TATEKAWA SLP, BCBA (OWNER)
(808) 778-6715
Entity
Organization
Contact information
Practice address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 778-6715
Mailing address
95-732 MAIAKU ST, MILILANI, HI 96789-2816
(808) 778-6715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1084054
HI
235Z00000X
Speech-Language Pathologist
Primary
SP 1016
HI
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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