Individual
JASON D RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1001 KAMOKILA BLVD STE 133, KAPOLEI, HI 96707-2097
(808) 800-1195
Mailing address
1001 KAMOKILA BLVD STE 133, KAPOLEI, HI 96707-2097
(808) 800-1195
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-135599
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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