Individual
BRYAN T NOGAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR TECHNICIAN
Contact information
Practice address
1931 E VINEYARD ST STE 100, WAILUKU, HI 96793-1700
(800) 293-4292
Mailing address
11037 WARNER AVE # 339, FOUNTAIN VALLEY, CA 92708-4007
(714) 848-8319
(714) 596-6274
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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