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Individual

DENNIS A AGOY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
2680 WAI WAI PL, KIHEI, HI 96753-8178
(808) 575-2954
(808) 874-8192
Mailing address
2680 WAI WAI PL, KIHEI, HI 96753-8178
(808) 575-2954

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1922405026
HORIZONS ACADEMY OF MAUI
HI
Enumeration date
06/12/2018
Last updated
02/01/2024
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