Individual
MARK NICHOLAS O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41-611 INOAOLE ST. WAIMANALO, WAIMANALO, HI 96795
(808) 892-4059
Mailing address
2069 MAUNA PL, HONOLULU, HI 96822-2501
(702) 517-1429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-20-142664
HI
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/13/2020
Last updated
11/16/2022
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