Individual
MR. JONATHAN JAMES TUPUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
94-450 MOKUOLA ST STE 100, WAIPAHU, HI 96797-3388
Mailing address
91-1386 KAMAHOI ST, EWA BEACH, HI 96706-1803
(808) 391-8489
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-122067
HI
Other
Enumeration date
05/11/2021
Last updated
12/09/2022
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