Individual
BRICIAN YAMILET FELICIANO MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1390 MILLER ST, HONOLULU, HI 96813-2493
(757) 994-8660
Mailing address
84-688 ALA MAHIKU ST APT 170A, WAIANAE, HI 96792-1630
(832) 805-6024
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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