Individual
BRAYDEN MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
94-1221 KA UKA BLVD UNIT 108 #167, WAIPAHU, HI 96797-6299
(808) 292-7968
Mailing address
94-1221 KA UKA BLVD STE 108, WAIPAHU, HI 96797-6299
(808) 292-7968
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-237461
HI
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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