Individual
JACK KRIZIZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
615 PIIKOI ST STE 601, HONOLULU, HI 96814-3176
(808) 868-9502
Mailing address
1330 ALA MOANA BLVD APT 1001, HONOLULU, HI 96814-4202
(808) 868-9502
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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