Individual
JASON R KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13-3460 MOKU ST, PAHOA, HI 96778-8306
(214) 552-2030
Mailing address
13-3460 MOKU ST, PAHOA, HI 96778-8306
(214) 552-2030
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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