Individual
MITCHELL ROBERT JONES EGELHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
710 GREEN ST, HONOLULU, HI 96813-2119
(808) 523-8188
Mailing address
91-1116 KAI WEKE ST, EWA BEACH, HI 96706-6298
(808) 347-9261
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-254502
HI
106S00000X
Behavior Technician
RBT17-42018
HI
Other
Enumeration date
12/27/2017
Last updated
01/20/2023
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