Individual
MR. RYOTA TAKAHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
41-611 INOAOLE ST, WAIMANALO, HI 96795-1211
(808) 892-4059
Mailing address
945 KAPAHULU AVE APT B, HONOLULU, HI 96816-6501
(808) 436-6104
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-30880
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-17-30880
BEHAVIOR ANALYSIS CERTIFICATION BOARD
HI
Enumeration date
12/31/2017
Last updated
12/31/2017
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