Individual
JARREN REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84-1111 LAHAINA ST APT C, WAIANAE, HI 96792-2277
(808) 783-6850
(808) 600-5999
Mailing address
84-1111 LAHAINA ST APT C, WAIANAE, HI 96792-2277
(808) 783-6850
(808) 600-5999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-16-24563
HI
Other
Enumeration date
01/13/2018
Last updated
01/13/2018
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