Individual
TRAVIS THAME PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(808) 517-9801
Mailing address
PO BOX 743, HALEIWA, HI 96712-0743
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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