Individual
JOSHUA FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1255 KILAUEA AVE STE 200, HILO, HI 96720-4205
(305) 597-3861
(305) 597-3863
Mailing address
HC 3 BOX 11017, KEAAU, HI 96749-9205
(786) 777-8584
(305) 597-3863
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
HI
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
07/08/2014
Last updated
07/23/2024
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