Individual
JACOB JOHN ESLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1330 ALA MOANA BLVD STE 1, HONOLULU, HI 96814-4262
(808) 585-1424
Mailing address
2417 NAAI ST, HONOLULU, HI 96819-2836
(808) 497-6366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-75087
—
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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